A middle-aged woman with history of unilateral nephrectomy presents with a week of malaise progressing to disorientation, and is found to have a large obstructing kidney stone in her remaining kidney coupled with signs of severe sepsis and renal failure.  Read ahead for management tips and additional pearls....   

Submitted by Lauren Murphy, MD

N-acetyl cysteine has a well established role in the early treatment of acetaminophen poisoning, but does it have any value in the treatment of other causes of acute liver failure? Read on for a quick summary of two studies, summarized by our own Dr. Poonam Kothari...

Submitted by Poonam Kothari MD

A high yield summary of this week's posts

A 2-year old presents with a chief complaint of accidental mothball ingestion 2 days ago (as per his mother). He appears pale and has had a couple episodes of vomiting. He has a history of G6PD deficiency. What are your immediate concerns? (read more for the answer)

Submitted by Kim Chavez, MD