Here is the latest board review from last Friday. Most of the questions of from NephSAP, with only 2-3 created by me. The plan is to post Nephrology Board-like questions to help prepare fellows for the in-service exam and national exam. -Adrian
We recently saw a 37 year old gentlemen with his second bout of acute alcoholic hepatitis that presented with altered mental status, elevated bilirubin/transaminases, and non-oliguric acute kidney injury. We were consulted as the primary team was concerned about hepatorenal syndrome. We decided that the patient didn’t have HRS given that he had almost 900…
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There is often the discussion of proper volume management in patients with ALI (acute lung injury) or ARDS (acute respiratory distress syndrome). We are often called when the patients develop worsening renal function for whatever reason or issues with volume management, so I thought it best to breifly review both ALI/ARDS and volume management in…
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For the second time in as many years we have seen a patient with Leptospirosis at Tulane Medical Center. This is a fairly rare disease that we are seeing in New Orleans more often that we probably should. Part of the reason is that there are so many gutted house being renovated. People are exposed…
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Recently a 53 year old male was admitted to the ED with weakness that progressively worsened over the last 3 weeks. The patient had a history of Hep C and cirrhosis and was sent in by his hepatologist for the weakness which was initially thought to be due to symptomatic anemia. The patient had a history of…
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