Tag Archives: renal

Caught on Colonoscopy: Schistosomiasis Manifesting as a Single Colonic Polyp

A screening colonoscopy identified an unexpected diagnosis in a 64-year-old male patient. He was an asymptomatic landscaper who presented for a first-time screening colonoscopy based on age. His only active medical issue was psoriasis, for which he took apremilast. At the time of colonoscopy, he denied any bright red blood per rectum, melena, changes in […]

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Transient Loss of HIV-1 DNA in an HIV-1 Positive Patient After Kidney Transplantation: A Case Report

Solid organ transplantation is increasingly used in human immunodeficiency virus (HIV) patients and is accumulating favorable outcomes from kidney and liver transplants in HIV-1 positive patients.1, 2 Antithymocyte globulin (ATG) is used for prevention and treatment of acute rejection following renal transplantation.3 It promotes T-cell depletion as well as modulation of cell surface antigens.4 It is possible that […]

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Pelvic computed tomography scan showed a heterogeneous mass with central necrosis (star) compressing and invading the urinary bladder. A Foley catheter (arrow) can be seen within the residual portion of the bladder.

Pneumaturia and Nephrotic Syndrome Caused by a HiddenPelvic Malignancy

A 78-year-old female was admitted to the cardiac critical care unit with concerns for acute on chronic heart failure exacerbation. She had a history of nonischemic cardiomyopathy that had previously remained stable over a period of 15 years through standard medical management. Six months prior to admission, she developed dyspnea and lower extremity edema. She […]

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senior woman about to get a diagnostic test

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 (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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