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....
Last week we wrote about how to approach hyponatremia, the differential and signs and symptoms to watch out for. The post this week reviews the treatment of hyponatremia including the dreaded osmotic demyelination syndrome. Read on for more!
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.