Dialysis Emergencies

Dialysis patients are susceptible to dialysis disequilibrium syndrome which can present as altered mental status, focal neurological deficits or even frank coma or seizures after dialysis. Make sure to consider a broad differential in these patients and start with a solute load such as an amp or two of D50 while starting your work up.

 Is It Time For A Race Reckoning In Kidney Medicine?

The debate in kidney medicine comes amid a broader examination of the use of race in clinical diagnostics in the medical community. That reckoning has been brought about in large part by medical students at institutions across the country who have questioned the scientific evidence justifying the use of race in diagnostic formulas and whether that might be perpetuating inequalities.

 Renal Emergencies in Children

Acute kidney injury (AKI; previously called acute renal failure), nephrotic syndrome and glomerulonephritis.

Acute Renal Failure Management

A fantastic review of a commonly seen problem at its extreme.

Emergencies in Renal Failure and Dialysis Patients

Patients with end-stage renal disease (ESRD) may sustain multiple complications of their disease process and treatment. Emergent dialysis is most commonly required for hyperkalemia, severe metabolic acidosis, and pulmonary edema resistant to alternative therapy.

Episode 26: End Stage Renal Disease Complications

End stage renal disease (ESRD) very common, defined by glomerular filtration rate (GFR) less than 15 mL/min. Patients most commonly die from cardiovascular disease, and sepsis is the most common cause of hospitalization.

Foley Catheter Patients: Common ED Presentations / Management / Pearls & Pitfalls

It is hard to go a shift in the emergency department without encountering a patient with a urinary tract infection, ranging from uncomplicated cystitis to florid sepsis from an infected ureteral stone. Interpretation of presenting symptoms and laboratory studies becomes more complex when considering a patient with a currently existing Foley catheter, recently removed catheter, or in a patient who regularly perform in-and-out catheterization.

Peds-Renal Trauma

Don’t overlook the hematuria! Not everyone needs a CT scan though!

Renal + GU Emergencies

This week we discuss some quick pearls from our conference covering an array of renal and GU pathologies.

Renal Failure Follow Up

Patients with acute renal failure often need medical management for hyperkalemia.

What’s behind racial disparities in kidney disease?

The explanations for the higher rates of kidney disease in African Americans have generally fallen into two broad categories: higher rates of diseases such as diabetes and hypertension that lead to kidney disease; and poorer access to insurance and medical care, leading to delayed diagnosis and faster progression of kidney disease. Therefore, efforts to reduce the rates of kidney disease in African Americans typically focused on diagnosing and treating diabetes and hypertension. Despite these efforts, the disparities have persisted.

Why is dialysis free?

As we all know, there’s been decades of debate regarding universal healthcare in the US. However, dialysis is different – lucky for you, your kidneys are completely covered under Medicare.