Nephrology
- Page kidney after a renal biopsy
A patient presents with flank pain and worsening hypertension and renal function 3 weeks after percutaneous renal biopsy.
- Gastroenteritis gone rogue
A 56-year-old woman presented with 2 weeks of vomiting and diarrhea. Her troubles were just beginning.
- A young man with hypertension and hypokalemia
At presentation, his blood pressure was 184/154 mm Hg, and his serum potassium level was 3.1 mmol/L.
- Giant uric acid stone in the bladder
The patient said he had to urinate 30 to 40 times a day, but only in small amounts.
- Severe hypercalcemia in a 54-year-old woman
Her calcium level was 18.4 mg/dL; 6 months earlier it had been 9.6. What was the cause?
- A complication of enoxaparin injection
Computed tomography revealed a hematoma measuring 15 by 15 cm compressing the bladder and causing hydronephrosis.
- ACE inhibitors and ARBs: Managing potassium and renal function
Concern about hyperkalemia and a decline in renal function has led to underuse of these drugs.
- ACE inhibitor and ARB therapy: Practical recommendations
Inhibitors of the renin-angiotensin-aldosterone system are cornerstones of therapy of cardiovascular disease.
- Deciding when a picture is worth a thousand words and several thousand dollars
Physical examination is cheap but not highly reproducible. Imaging is expensive but may be more sensitive and specific.
- When does acute pyelonephritis require imaging?
Imaging is recommended for those at risk of complications.