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.
If the player doesnât have a domino of matching value, they must pick up one domino from the chicken yard. If they still canât play, they pass. The first double played in the game is a spinner. You can play off all four sides of the spinner. The next time any double is played, it is a chickenfoot. The three toes of the chickenfoot must be played before any other dominoes can be played. This diagram shows how the three toes of the chicken foot must be filled in before tiles can be played elsewhere. After the chickenfoot is filled, the game continues as before and players may place pieces on any open end.