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Is Frailty a Predictor of Outcomes in Elderly Inpatients with Acute Kidney Injury? A Prospective Cohort Study

Frailty and acute kidney injury are independently associated with an increased risk of morbidity and mortality. The degree of frailty can be assessed by the Clinical Frailty Score (CFS). This study assessed whether an individual’s CFS was associated with acute kidney injury in acute elderly medical admissions and recorded the short-term outcomes. Methods This was […]

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Computer tomography without contrast of abdomen showing colonic distension with air fluid levels without mechanical obstruction.

Hypokalemia in an End-Stage Renal Disease Patient

Kidneys play an essential role in K+ homeostasis, but the role of the colon in K+ homeostasis is not well recognized. Increased colonic K+ excretion plays a vital role in regulating plasma K+ level in patients with end-stage renal disease.1 We present a case of hypokalemia in a patient with end-stage renal disease with colonic pseudo-obstruction. […]

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Computed tomography of the abdomen with contrast shows remarkable parietal peritoneal thickness (red arrow). Also noted is bilateral renal enlargement with innumerable renal cysts (yellow arrow), confirming diagnosis of Autosomal Dominant Polycystic Kidney Disease. There is a small amount of ascites and organization of loculated fluid collection (orange arrow) in the right upper quadrant. Small bowel dilatation (blue arrow) represents ileus.

Long-Term Peritoneal Dialysis May Result in Vascular Changes Within the Peritoneal Cavity, Leading to Reduced Efficacy of Intravenous Antibiotics in Treatment of Bacterial Peritonitis

Peritoneal dialysis is a home-based dialysis modality. In the US, 7.5% of the total dialysis population uses peritoneal dialysis.1 Peritoneal dialysis catheter-related peritonitis is a well-recognized complication, with an annual mortality rate as high as 16%.2 Although peritoneal dialysis-associated peritonitis treatment has been standardized, peritoneal dialysis catheter may require removal in cases of relapsing or refractory peritonitis […]

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Computed tomography (venous phase) of the abdomen and pelvis shows a large thick-walled, centrally hypodense, cystic mass (arrow) in the left portion of the horseshoe kidney.

Not Your Typical Renal Cyst

A 32-year-old man with no significant past medical or family history presented to his primary care physician with lower back and abdominal pain. Renal function tests and urinalysis were unremarkable. Computed tomography scan demonstrated a mixed cystic solid renal lesion with focal wall thickening and contrast enhancement within the left portion of a horseshoe kidney. […]

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Fabry Disease: An Uncommon Cause of Renal Failure

To the Editor: Fabry disease is an X-linked disorder caused by glycosphingolipid accumulation due to α-galactosidase (GLA) deficiency. Data are limited in patients with Latin American ancestry. We present the case and genetics of a late-diagnosed Fabry disease patient who presented with end-stage renal disease. Case Report A 30-year-old Mexican man without known medical conditions […]

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