Nephrology to train in pediatric nephrology, and internal medicine (adult) trained physicians may enter general (adult) nephrology fellowships. History and physical examination are central to the diagnostic workup in nephrology. The history typically includes the present illness, family history, general medical history, diet, medication use, drug use and occupation. The physical examination typically includes an assessment of volume state, blood pressure, heart, lungs, peripheral arteries, joints, abdomen and flank. Examination of the urine (urinalysis) allows a direct assessment for possible kidney problems, which may be suggested by appearance of blood in the urine (haematuria), protein in the urine (proteinuria), pus cells
The six organs in the Palace of Mafra organs were produced that year. Shortly after their completion, the French invasion and the following exile of the Portuguese Court to Brazil led to the organs decaying for lack of maintenance. A decade later – possibly in connection with the prospect of the return of the Portuguese royal family – the six organs were subject to a major intervention. The intent of these works, undertaken by Machado e Cerveira, was not only to repair the instruments but also to enlarge them. Unfortunately, the works were interrupted a few years later (Machado e Cerveira died in 1828), and several items, such