Chvostek’s sign is momentary contraction of the nose and/or lips in response to tapping the facial nerve at the angle of the jaw. Associated with hypocalcemia, it has been found to be poorly sensitive and specific. It is seen in 10-25% of healthy individuals with normal calcium levels, whereas approximately one third of patients with hypocalcemia will not demonstrate this sign.
How should we manage a suspected line infection in a dialysis patient? This week our great nephrology team provided us pearls regarding catheter related bloodstream infections in addition to other valuable renal associated tips.