Acute interstitial nephritis is an important cause of acute renal failure resulting from immune-mediated tubulointerstitial injury, initiated by medications, infection, and other causes. Acute interstitial nephritis may be implicated in up to 15 percent of patients hospitalized for acute renal failure.
The first player places one of their dominoes (right-side up) on the table. The second player tries to put a domino on the table that matches one side of what's already there. If a player cannot go, the player picks a domino from the pile and skips that turn. The chain of the played dominoes develops randomly, and can look a lot like a snake.
Begin Play: The player who drew the highest double or the highest domino plays first, playing any domino he wishes from his had. Object of the game: Scoring points by laying the dominoes end to end (the touching ends must match: i.e., oneâs touch oneâs, twoâs touch twoâs, etc.). If the dots on the exposed ends total any multiple of five the player is awarded that number of points.