![]() | Renal tubular acidosis was one of the Natural sciences good articles, but it has been removed from the list. There are suggestions below for improving the article to meet the good article criteria. Once these issues have been addressed, the article can be renominated. Editors may also seek a reassessment of the decision if they believe there was a mistake. | |||||||||||||||
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Current status: Delisted good article |
![]() | This article is rated C-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | ||||||||||||||||
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![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Renal tubular acidosis.
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This article was the subject of a Wiki Education Foundation-supported course assignment, between 26 August 2019 and 15 November 2019. Further details are available
on the course page. Student editor(s):
AmyMarshallRN,
Nt4993,
Sierrahouston,
Kjsem3.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 08:01, 17 January 2022 (UTC)
I know it's short, but it's only a start... Felix-felix 17:15, 23 November 2006 (UTC)
Suggestions/orders here please... FelixFelix talk 16:08, 6 March 2007 (UTC)
This article failed good article nomination. This is how the article, as of May 9, 2007, compares against the six good article criteria:
When these issues are addressed, the article can be resubmitted for consideration. If you feel that this review is in error, feel free to take it to a GA review. Thank you for your work so far. — The Sunshine Man 11:43, 9 May 2007 (UTC)
I have to admit, I've never totally understood the garden variety Type 4 RTA that comes from hyporeninemic hypoaldosteronism. Why is it that diabetics w/ sCr of 2mg/dl don't have appropriate kaliuresis? Shouldn't the hyperkalemia directly stimulate adrenal release of aldo? When treating with fludrocortisone, one has to give supraphysiologic doses to manage the K. I've always assumed the diabetics (and those with obstructive uropathy) actually *do* have a specific tubular defect that reduces their responsiveness to aldosterone out of proportion to their reduction of GFR. Of course, I can't find anything in the literature to back up my supposition. Felix, do you work with Fiona? Would she have any thoughts about this? Dan Levy 15:39, 23 May 2007 (UTC)
Eyes glazed over....yes I've seen that one. Thanks. Dan Levy 15:58, 25 May 2007 (UTC)
I tried to make the introduction a little more user friendly to the layperson. Hopefully, it's not to wordy. I should say that (IMHO) I do not see the term acidosis as a misnomer in any way: A mild acidosis can occur that is buffered or otherwise compensated for, preventing significant acidemia. I guess that the exception is an incomplete RTA, which may not really cause an acidosis.....but this is discussed in the dRTA section. Dan Levy 22:11, 26 May 2007 (UTC)
I am glad to say that this article which was nominated for good article status has succeeded. This is how the article, as of May 27, 2007, compares against the six good article criteria:
If you feel that this review is in error, feel free to take it to a GA review. Thank you to all of the editors who worked hard to bring it to this status.. — Carson 20:02, 27 May 2007 (UTC)
This is one of the better written articles in the medical sciences section of Wikipedia! Such articles increase readership amongst the medical fraternity, who can review it as a ready reckoner prior to exams and reviews! Better listing of references would help, but I am not complaining! Looking forward to more such articles from the author!
Regards,
A fellow doctor! —Preceding unsigned comment added by 122.162.87.243 ( talk) 20:22, August 30, 2007 (UTC)
Yes thankyou FelixFelix this is a very well written article and one of the few on Wikipedia that I have read understanding the credibility of the material. Thanks - this article has helped me understand RTA, which is a very difficult concept!
A fellow physician
Logical paradox (
talk)
12:17, 10 April 2008 (UTC)
"Distal RTA (dRTA) is the classical form of RTA, being the first described. *It has a number of causes which cause a common underlying problem,* which is a failure of acid secretion by the alpha intercalated cells of the cortical collecting duct of the distal nephron. "
The starred clause is not well-written... the "which" should be changed to "that", at a minimum. To be honest, I'm not sure what it's saying.. do all of the causes of dRTA result in failure of acid secretion? Or is there an underlying problem, failure of acid secretion, which causes dRTA in a number of different ways? I'm sure I could read the rest of the paragraph and piece this together, I just wanted to say it's not very clear as-is. (dRTA has a number of causes that cause a common problem.... what?!) Dr.queso ( talk) 14:43, 12 June 2008 (UTC)
You might try just reading the rest of the sentence that tells you that the common problem, is "a failure of acid secretion by the alpha intercalated cells of the cortical collecting duct of the distal nephron." Quite simple really. If you don't like the phrasing, you are at total liberty to edit it. —Preceding unsigned comment added by 82.246.159.209 ( talk) 15:35, 17 June 2008 (UTC)
"It [the problem] has a number of causes which cause a common problem." You don't see the problem? I suggest stating what the "common underlying problem" is-- failure of acid secretion by the alpha intercalated cells of the cortical collecting duct of the distal nephron." And instead of describing it as the "common underlying problem," since this section is entitled "type I-Distal RTA," it might be better to start with a description of type I-Distal RTA (failure of acid secretion), and then say "type I-Distal RTA has a number of causes" or, if you prefer, "failure of acid secretion in the distal nephron can be caused in a number of ways." If there is no objection to the suggestions, I will edit the article at a later time. Dr.queso ( talk) 02:37, 14 July 2008 (UTC)
How common are these conditions?-- Doc James ( talk · contribs · email) 01:43, 21 May 2009 (UTC) Thought to be rare, but no formal epidemiology available-good luck if you can find a good source about it! FelixFelix talk 18:31, 17 October 2009 (UTC)
This page seems to deal with four different conditions. Each should probably have there own page with a summary presented here.-- Doc James ( talk · contribs · email) 09:46, 9 June 2009 (UTC) No, I disagree, these related syndromes are always detailed together in the text books, and its useful to have them on one page as the concepts involved are notoriously tricky. If the page was much bigger, you might have a point-but it's a good size. FelixFelix talk 08:58, 26 June 2009 (UTC)
The article got gutted, with no discussion! I appreciate that user:docjames idly talked about an article split 3 years ago, but I thought that we'd agreed not to do that (or that was what I thought anyway...!). All my carefully formatted citations gone, and the different types all on different pages!!-I really think this makes this traditionally very confusing subject harder, not easier for the interested reader to understand. I propose a merge, toot sweet, as they say, but lets have a chinwag and achieve consensus. Cheers FelixFelix talk 09:39, 17 July 2011 (UTC)
In the bullet point list for "type 1 distal" it says hypERkalemia, but it should say hypOkalemia. — Preceding unsigned comment added by 108.54.17.159 ( talk) 03:00, 21 June 2014 (UTC)
![]() | Renal tubular acidosis was one of the Natural sciences good articles, but it has been removed from the list. There are suggestions below for improving the article to meet the good article criteria. Once these issues have been addressed, the article can be renominated. Editors may also seek a reassessment of the decision if they believe there was a mistake. | |||||||||||||||
| ||||||||||||||||
Current status: Delisted good article |
![]() | This article is rated C-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | ||||||||||||||||
|
![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Renal tubular acidosis.
|
This article was the subject of a Wiki Education Foundation-supported course assignment, between 26 August 2019 and 15 November 2019. Further details are available
on the course page. Student editor(s):
AmyMarshallRN,
Nt4993,
Sierrahouston,
Kjsem3.
Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT ( talk) 08:01, 17 January 2022 (UTC)
I know it's short, but it's only a start... Felix-felix 17:15, 23 November 2006 (UTC)
Suggestions/orders here please... FelixFelix talk 16:08, 6 March 2007 (UTC)
This article failed good article nomination. This is how the article, as of May 9, 2007, compares against the six good article criteria:
When these issues are addressed, the article can be resubmitted for consideration. If you feel that this review is in error, feel free to take it to a GA review. Thank you for your work so far. — The Sunshine Man 11:43, 9 May 2007 (UTC)
I have to admit, I've never totally understood the garden variety Type 4 RTA that comes from hyporeninemic hypoaldosteronism. Why is it that diabetics w/ sCr of 2mg/dl don't have appropriate kaliuresis? Shouldn't the hyperkalemia directly stimulate adrenal release of aldo? When treating with fludrocortisone, one has to give supraphysiologic doses to manage the K. I've always assumed the diabetics (and those with obstructive uropathy) actually *do* have a specific tubular defect that reduces their responsiveness to aldosterone out of proportion to their reduction of GFR. Of course, I can't find anything in the literature to back up my supposition. Felix, do you work with Fiona? Would she have any thoughts about this? Dan Levy 15:39, 23 May 2007 (UTC)
Eyes glazed over....yes I've seen that one. Thanks. Dan Levy 15:58, 25 May 2007 (UTC)
I tried to make the introduction a little more user friendly to the layperson. Hopefully, it's not to wordy. I should say that (IMHO) I do not see the term acidosis as a misnomer in any way: A mild acidosis can occur that is buffered or otherwise compensated for, preventing significant acidemia. I guess that the exception is an incomplete RTA, which may not really cause an acidosis.....but this is discussed in the dRTA section. Dan Levy 22:11, 26 May 2007 (UTC)
I am glad to say that this article which was nominated for good article status has succeeded. This is how the article, as of May 27, 2007, compares against the six good article criteria:
If you feel that this review is in error, feel free to take it to a GA review. Thank you to all of the editors who worked hard to bring it to this status.. — Carson 20:02, 27 May 2007 (UTC)
This is one of the better written articles in the medical sciences section of Wikipedia! Such articles increase readership amongst the medical fraternity, who can review it as a ready reckoner prior to exams and reviews! Better listing of references would help, but I am not complaining! Looking forward to more such articles from the author!
Regards,
A fellow doctor! —Preceding unsigned comment added by 122.162.87.243 ( talk) 20:22, August 30, 2007 (UTC)
Yes thankyou FelixFelix this is a very well written article and one of the few on Wikipedia that I have read understanding the credibility of the material. Thanks - this article has helped me understand RTA, which is a very difficult concept!
A fellow physician
Logical paradox (
talk)
12:17, 10 April 2008 (UTC)
"Distal RTA (dRTA) is the classical form of RTA, being the first described. *It has a number of causes which cause a common underlying problem,* which is a failure of acid secretion by the alpha intercalated cells of the cortical collecting duct of the distal nephron. "
The starred clause is not well-written... the "which" should be changed to "that", at a minimum. To be honest, I'm not sure what it's saying.. do all of the causes of dRTA result in failure of acid secretion? Or is there an underlying problem, failure of acid secretion, which causes dRTA in a number of different ways? I'm sure I could read the rest of the paragraph and piece this together, I just wanted to say it's not very clear as-is. (dRTA has a number of causes that cause a common problem.... what?!) Dr.queso ( talk) 14:43, 12 June 2008 (UTC)
You might try just reading the rest of the sentence that tells you that the common problem, is "a failure of acid secretion by the alpha intercalated cells of the cortical collecting duct of the distal nephron." Quite simple really. If you don't like the phrasing, you are at total liberty to edit it. —Preceding unsigned comment added by 82.246.159.209 ( talk) 15:35, 17 June 2008 (UTC)
"It [the problem] has a number of causes which cause a common problem." You don't see the problem? I suggest stating what the "common underlying problem" is-- failure of acid secretion by the alpha intercalated cells of the cortical collecting duct of the distal nephron." And instead of describing it as the "common underlying problem," since this section is entitled "type I-Distal RTA," it might be better to start with a description of type I-Distal RTA (failure of acid secretion), and then say "type I-Distal RTA has a number of causes" or, if you prefer, "failure of acid secretion in the distal nephron can be caused in a number of ways." If there is no objection to the suggestions, I will edit the article at a later time. Dr.queso ( talk) 02:37, 14 July 2008 (UTC)
How common are these conditions?-- Doc James ( talk · contribs · email) 01:43, 21 May 2009 (UTC) Thought to be rare, but no formal epidemiology available-good luck if you can find a good source about it! FelixFelix talk 18:31, 17 October 2009 (UTC)
This page seems to deal with four different conditions. Each should probably have there own page with a summary presented here.-- Doc James ( talk · contribs · email) 09:46, 9 June 2009 (UTC) No, I disagree, these related syndromes are always detailed together in the text books, and its useful to have them on one page as the concepts involved are notoriously tricky. If the page was much bigger, you might have a point-but it's a good size. FelixFelix talk 08:58, 26 June 2009 (UTC)
The article got gutted, with no discussion! I appreciate that user:docjames idly talked about an article split 3 years ago, but I thought that we'd agreed not to do that (or that was what I thought anyway...!). All my carefully formatted citations gone, and the different types all on different pages!!-I really think this makes this traditionally very confusing subject harder, not easier for the interested reader to understand. I propose a merge, toot sweet, as they say, but lets have a chinwag and achieve consensus. Cheers FelixFelix talk 09:39, 17 July 2011 (UTC)
In the bullet point list for "type 1 distal" it says hypERkalemia, but it should say hypOkalemia. — Preceding unsigned comment added by 108.54.17.159 ( talk) 03:00, 21 June 2014 (UTC)