This patient has ANCA positive microscopic polyangiitis and is in a clinical remission, with residual proteinuria and renal impairment. The remission has been induced with sequential cyclophosphamide and azathioprine therapy and the only outward manifestation of possible...
This young woman has severe IgA nephropathy with renal insufficiency, moderate proteinuria and a proliferative and crescentic glomerulonephritis. An aggressive approach to treatment is indicated. At the present time, controlled studies support the use of combinations of...
A epidemiologic study has demonstrated that cardiac arrest and sudden death in dialysis units occurs more frequently during Monday dialysis sessions than on other days of the week. Case patients were nearly twice as likely to have been dialyzed against a 0 or 1.0 mEq/L...
Hypertension in dialysis patients is due to Volume expansion, sympathetic overactivity, activation of the renin-angiotensin system, and arteriosclerosis. self-recorded home blood pressure (BP) monitoring are efficient, accurate, and correlate with readings obtained by...
This obese white male has focal and segmental glomerulosclerosis (FSGS) on renal biopsy. The picture is classic for obesity-related glomerulopathy with sub-nephrotic range proteinuria, normal serum albumin, glomerulomegaly and only limited foot process effacement on electron...
A. Patient most likely has amphotericin B induced nephrotoxicity due to use of nonliposomal preparation. Amphotericin can cause acute kidney injury both due to direct toxic effect on renal tubules and also also from renal vasoconstriction due to direct effect of amphotericin B...
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