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 two people are playing, each person gets seven. If three or four people are playing, each takes five dominos. Tip: There are 28 tiles in a standard set, from blank at both ends to sixes at both ends. Dominos are also known as bones. Step 2: Decide who goes first. To decide which player starts, each player reveals their highest double -- a piece that has the same number of dots on both ends.