Tag Archives: renal

Life with One Kidney: Primary Care and the Living Kidney Donor

Living donor kidney transplantation is an excellent option for those with end-stage renal disease, and there have been 133,000 living donors in the US since 1988.1 Donor nephrectomy is considered low-risk surgery, with a perioperative mortality of 0.03% and few major complications. Donors generally fare well after nephrectomy, with most studies showing no increase in long-term […]

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Renal Thrombotic Microangiopathy, Podocytopathy, and Chylous Ascites: A Hard-Nosed Diagnosis

Presentation A 67-year-old Sub-Saharan African man presented to an outside institution with progressive, painless abdominal distention, anorexia, leg swelling, and dyspnea on exertion. He had not seen a physician in many years. He denied alcohol use, intravenous drug use, or any recent surgery. He was referred to our institution for a second opinion. On physical […]

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A Silent Relic: Uremic Pericardial Effusion

A 52-year-old woman’s deviation from her treatment regimen put her at risk for a bygone fate. The patient presented to the hospital with gradually worsening dyspnea on exertion, nausea, vomiting, and headaches. After reporting a history of hypertension, end-stage renal disease secondary to lupus nephritis, and an inability to tolerate her oral antihypertensive medications, she […]

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Drug-induced Dilemma

Drug-induced Dilemma: Angiokeratomas and Decreased Renal Function   Timing is everything, according to the well-worn aphorism. Yet, it certainly proved true when a diagnosis was sought for a puzzling set of signs and symptoms. An 84-year-old woman was referred to our hospital in December 2012, due to the sudden appearance of multiple eruptive hemorrhagic papules […]

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