MALA is a difficult diagnosis to make due to lack of specific lab testing revealing toxicity. However, this disorder should be considered in patients presenting with marked hemodynamic instability wit
Valacyclovir-associated neurotoxicity (VAN) is a relatively rare phenomenon. This case report details a unique presentation of VAN in a hemodialysis-dependent patient. It underscores the importance of
Nephrotic syndrome (NS) is diagnosed by the presence of proteinuria, hypoalbuminemia, and peripheral edema. Hyperlipidemia and thrombotic disease are also frequently observed. Most cases of NS in pedi
Acute salt ingestion should be rapidly corrected to reduce serum osmolality. This can be done with an infusion of hypotonic solutions, such as 5% dextrose in water (D5W), with a goal reduction of 1 mm
Hematuria, while a common presentation to the ED, can have myriad causes. Some of those causes, such as a ruptured AAA and tuberculosis, can be life-threatening if not recognized. When working up a pa
Hematuria is a common complaint in the emergency department - and one that is largely benign. Nonetheless, there are several emergent conditions the emergency physician should consider when evaluating
Phlegmasia cerulea dolens is a rare but emergent condition of massive venous thrombosis that can rapidly produce irreversible vascular gangrene. If your patient in the emergency department has a swoll
Point of care ultrasound can be used to help evaluate patients with suspected kidney pathology and to diagnose causes of renal colic, renal failure, hematuria, and decreased urine output. Compared to
Emphysematous pyelonephritis is a rare diagnosis in the ED but can be life-threatening. Symptoms can be non-specific, making diagnosis more difficult. Proper, expeditious imaging can make all the diff
BRASH syndrome is an uncommon but often fatal condition in which an acute renal injury initiates a vicious cycle of bradycardia, hyperkalemia, hypotension and worsening renal failure in patients who t