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Presumed Pancreatitis in the Setting of Renal Impairment

We present a patient misdiagnosed with acute pancreatitis in the setting of acute kidney injury. Misdiagnosis delayed the treatment of his underlying illness and resulted in misuse of resources and prolonged hospital stay. Case Report A 60-year-old nonverbal male with a history of quadriplegia, diabetic nephropathy, and nephrolithiasis with left ureteral stent placement was referred […]

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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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Urine Tests for Chronic Hypokalemia: When in Doubt, Check Urine-Sodium-to-Chloride Ratio

Urine tests are very helpful for the diagnosis of renal and electrolyte disorders. However, ordering and interpreting urine tests properly have been an Achilles heel for many primary care physicians and residents. It is particularly difficult for chronic hypokalemia because the pathophysiological mechanisms behind it can be rather complicated. Traditionally, we use transtubular K+ gradient (TTKG) […]

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