Encapsulating Peritoneal Sclerosis (EPS) is an extremely rare, but devastating possible complication of peritoneal dialysis. The International Society of Peritoneal Dialysis (ISPD) defines it as a “syndrome continuously, intermittently, or repeatedly presenting with symptoms of intestinal obstruction caused…
While there are less morbidity and mortality associated with peritonitis than sepsis and bacteremia, peritonitis is still a major cause of peritoneal dialysis technique failure and mortality is not negligible. Many measures have been studied and are now…
Hey doc, my effluent looks kinda like milk…would it taste good with cookies? Chyloperitoneum is a rare cause of cloudy or even outright white milky effluent. This classic appearance is due to the presence of chylomicrons in a…
In the differential diagnosis of inadequate ultrafiltreation, one of the possible entities is a dialysate leak. The more insidious leak will present with weight gain and decreased drain volumes as the dialysate leaks into different planes/potential spaces and…
Is my peritoneal dialysis (PD) patient’s hypervolemia due to ultrafiltration failure (UF)? UF is a specific diagnosis with a definition of a failure to achieve 400 mL of ultrafiltration during a 4 hour dwell using 4.25% dextrose. While…
Welcome to post 4 of the “Let’s Talk About Peritoneal Dialysis (PD)” Series! In post 3 we discussed drain pain, and today we discuss infusion pain (pain during dialysate infusion into the abdomen) which can be just as distressing…
“Hey doc, it hurts every time I do this.” “Well, stop doing that.” Ah, if it were so simple. What is one to do when “this” is draining peritoneal dialysis (PD) dialysate? A simple question with a not…
A common call the nephrologist will receive when managing a peritoneal dialysis (PD) patient is that of poor flow. This problem is classically described as “one way” or “two way.” One Way Obstruction: Classically defined as as slow…
Welcome to a series of posts titled “Let’s Talk About Peritoneal Dialysis.” Today, we will be discussing the Peritoneal Equilibration Test (PET) that is performed in peritoneal diaysis (PD) patients. I distinctly recall my first time as a…
As most stories do, this one begins with a case. I was on call over the weekend, it was busy, and I was called by the neuro ICU for a new consult. Their patient had been hyponatremic for…
