Browsing: Nephrology

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Pediatric EM , Nephrology

A Case of Constipation … or Not

4/15/2023 Karly Lebherz, MD , Anna Suessman, DO
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
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Toxicology , Nephrology

A Case of Intentional Salt Ingestion Leading to Life-Threatening Hypernatremia

1/30/2023 Christopher M Mashiak, MD , Johndavid M Storn, MD , Jennifer V Pope, MD
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
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Nephrology , Urology

Unusual Causes of Hematuria

10/10/2022 Sophia Gorgens, MD , Mary Flanagan-Kundle, DPA, PA-C , Zhanna Roit, MD
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
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Urology , Nephrology

Hematuria in the ED: Evaluation and Management

4/10/2022 J. Ryan Bingham, MD , Victoria Klovenski, MD
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
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Critical Care , Critical Care Ultrasound , Ultrasound , Nephrology

An Acutely Swollen and Cyanotic Leg

4/10/2022 Jasmine Jolly, MD , Elizabeth Page Bridges, MD, FACEP , David Stephen Wong, MD , Dustin Morrow, MD, FACEP
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
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Ultrasound , Nephrology , POCUS For the Win

POCUS for the Win: Focal Segmental Glomerulosclerosis

12/12/2021 Ashley Haggerty, DO, MS
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
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Urology , Ultrasound , Nephrology

ED Management of Emphysematous Pyelonephritis

12/12/2021 Jennifer Mirrielees, MD , Hani I. Kuttab, MD
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
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Cardiology , Nephrology , Toxicology

BRASH Syndrome: A Vicious Cycle

8/10/2021 Emily Newton , Gabrielle Ransford, MD , Anjeza Cipi, MD
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
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Nephrology

Cervical Cancer as a Cause of Acute Renal Failure

10/9/2020 Jordan Miller, DO , Christina Hornack, DO , Michael Pallaci, DO, FACEP, FACOEP , Michael Weinstock, MD
Cervical cancer, the second-leading cause of death among women ages 20-39, can be a rare form of acute renal failure.
Nephrology

The Echogenic Kidney

2/12/2020 Bryn Dhir , Colin Ireland, DO , Todd Britt, DO , Alan Janssen, DO, FACOEP-D, FACEP, FAAEM
Ultrasound in the emergency department can reveal the echogenicity of the renal pyramids in Medullary Sponge Kidney. Despite previous episodes and presentations, it is often undiagnosed or overlooked

#FOAMed and External Sources

Hyponatremia: It’s all about WATER

HQMedEd.com 09/27/2016

IV Contrast, Unleashed

Emergency Medicine Literature of Note 01/27/2020

Yet Another Failure to Prevent Contrast-Induced Nephropathy

Emergency Medicine Literature of Note 11/29/2017

King – Nephrology and Toxicology Challenges in COVID-19

University of Maryland 05/20/2020
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