“Dilutional Acidosis”

Though this is to some degree controversial, volume expansion with normal saline has been associated with the development of a hyperchloremic, non-anion gap metabolic acidosis.  What are the mechanisms associated with saline expansion-induced metabolic acidosis? The rationale for…

Complications of Renal Biopsy

I’ve had to revise the renal biopsy complication rates that I’m quoting my patients after reading this review. – Technically, complications occur in 7.4% to 19.5% of patients. These mostly consist of self-limiting macroscopic hematuria or a peri-renal,…

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Renal Failure in the Neuro ICU

Here are a few important guidelines for prescribing RRT in the Neuro ICU gleaned from this review. First off, a recap of the physiology… Intracranial pressure increases are buffered by CSF, such that increased ICP leads to increased…

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Gordon Syndrome

File “Gordon Syndrome” under “interesting causes of hyperkalemia and metabolic acidosis you may never see.” Also called pseudohypoaldosteronism type II, Gordon Syndrome is relevant less so for the number of patients afflicted but more due to the interesting…

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