Browsing: Nephrology

Urology , Nephrology , Ultrasound

Ureteric Stone: Use of POCUS in Atypical Presentation

10/31/2024 Tahir Shahzad, MD

Urinary tract stones are a frequent chief complaint in the emergency department. Point-of-care ultrasound speeds a diagnosis and helps direct appropriate management.

Nephrology , Toxicology

Blue Dye, Gotta Try: A Case of Metformin-Associated Lactic Acidosis

7/15/2024 Marlee Thomas, DO , Howard Levitin, MD, FACEP , Ryan Stuart, MD , Maria Lucarelli, MD

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

Neurology , Nephrology , Toxicology

Valacyclovir-Associated Neurotoxicity in End-Stage Renal Disease

1/15/2024 Chad Barnhart, MD, EMT-P , Matthew Ball, MD , Michael B. Holbrook, MD

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

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

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

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

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

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

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

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