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
Four Organs Four Organs Four Organs is a work for four electronic organs and maraca, composed by Steve Reich in January 1970. The four organs harmonically expound a dominant eleventh chord (E–D–E–F–G–A–B), dissecting the chord by playing parts of it sequentially while the chord slowly increases in duration from a single 1/8 note at the beginning to 200 beats at the end. The process of increased augmentation is accomplished first by causing notes to sustain after the chord, and then notes start anticipating the chord. As the piece progresses, this "deconstruction" of the chord emphasizes certain harmonies. At the climax of the