SMJ articles in the category "renal failure"

Expired CME Article

Improper Renal Dosing in Long-Term Care Facilities

Objectives: With advancing age, physiologic changes occur that affect drug metabolism. Possibly the most predictable function decline in geriatric population is renal function. Methods: The prescribing habits of physicians and the attention given to patient renal function was investigated. Data was collected from two nursing facilities in southeastern Georgia. Results:…

Posted in: renal failure 10

Case Report

Thrombotic Microangiopathy as a Complication of Medicinal Leech Therapy

Medicinal leeches (hirudo medicinalis) are increasingly used as a useful therapeutic option in various medical and surgical settings. The potential complications associated with this therapy include infections with Aeromonas species, bleeding, anemia, and allergic reactions. We describe a patient who developed thrombotic microangiopathy and acute renal failure following leech therapy….

Posted in: renal failure 10 thrombotic microangiopathy 3

Case Report

Membranoproliferative Glomerulonephritis in Patients with Cystic Fibrosis: Coincidence or Comorbidity? A Case Series

The pathogenesis of Brunner gland hamartoma of the duodenum is unknown. This case report describes the chronology of the development of Brunner gland hamartoma from Brunner gland hyperplasia over a 12-year interval. The study subject, a 64-year-old man with chronic iron deficiency anemia, underwent serial upper endoscopies during this period….

Posted in: cystic fibrosis 6 membranoproliferative glomerulonephritis 2 renal failure 10

Case Report

Rhabdomyolysis and Acute Myoglobinuric Renal Failure in a Patient With Bilateral Pheochromocytoma Following Open Pyelolithotomy

Rhabdomyolysis is an unusual manifestation of pheochromocytoma. Early diagnosis and prompt management are crucial, as it may have life-threatening consequences. This is the case of a 19-year-old man with bilateral pheochromocytoma complicated with rhabdomyolysis and acute myoglobinuric renal failure after surgery for nephrolithiasis. A massive catecholamine release during the procedure…

Posted in: pheochromocytoma 6 renal failure 10 rhabdomyolysis 8

Case Report

Oxycodone Accumulation in a Hemodialysis Patient

Oxycodone and oxycodone-containing analgesics are often used for the relief of pain. In the presence of renal dysfunction, the half-life of oxycodone and metabolites can be prolonged. We describe the case of a 41-year-old chronic hemodialysis patient who received multiple doses of oxycodone/acetaminophen resulting in accumulation of the medication and…

Posted in: hemodialysis 9 opioids 10 renal failure 10 toxicity 10

Case Report

An Unrecognized Cause of Recurrent Hypercalcemia: Immobilization

Abstract:We report a 66-year-old Chinese man with chronic renal insufficiency (creatinine 1.7 mg/dL) and gout suffering from slurred speech and right hemiplegia for 3 days. Acute cerebral infarction was confirmed by computed tomography. Conscious disturbance occurred on the tenth hospital day without significant changes on imaging study when compared with…

Posted in: hypercalcemia 10 renal failure 10 Stroke 16

Case Report

Thrombotic Thrombocytopenic Purpura Without Schistocytes on the Peripheral Blood Smear

A hallmark of the clinical syndrome of thrombotic thrombocytopenic purpura (TTP) is evidence of microangiopathic hemolytic anemia. The presence of schistocytes on the peripheral blood smear, elevated plasma lactic dehydrogenase, and decreased haptoglobin concentration are used as evidence of microangiopathic hemolytic anemia to make a diagnosis of TTP. This report…

Posted in: plasma exchange 2 renal failure 10 thrombotic thrombocytopenic purpura 6

Case Report

Cholesterol Emboli-induced Renal Failure and Gastric Ulcer After Thrombolytic Therapy

Cholesterol embolization syndrome is a rare but devastating complication of thrombolysis. Clinical presentations are variable, which has resulted in labeling this syndrome as the great masquerader. Almost every organ in the body may be affected, but the syndrome commonly involves the kidney, skin, central nervous system, and gastrointestinal tract. Treatment…

Posted in: renal failure 10 thrombolysis 7

Case Report

Renal Failure and Hypercalcemia as Initial Manifestations of Extrapulmonary Sarcoidosis

Sarcoidosis is a granulomatous, multisystem disease. Rarely, sarcoidosis may present with both renal failure and hypercalcemia. A 27-year-old black man presented with severe abdominal pain and renal failure. A kidney biopsy demonstrated features of both interstitial nephritis and membranous glomerulopathy thought to be secondary to nonsteroidal anti-inflammatory drugs. His renal…

Posted in: hypercalcemia 10 renal failure 10 sarcoidosis 15

Case Report

Intestinal Pseudo-obstruction as a Presenting Manifestation of Systemic Lupus Erythematosus: Case Report and Review of the Literature

A case of intestinal pseudo-obstruction as a presenting manifestation of systemic lupus erythematosus is presented. Systemic lupus erythematosus is an autoimmune disease with a wide spectrum of unpredictable multisystemic presentations. A case of systemic lupus erythematosus that was diagnosed in a patient whose initial presentation for the disease was acute…

Posted in: hydronephrosis 2 renal failure 10 systemic lupus erythematosus 9
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