Welcome to the 27th case of the Skeleton Key Group, a team of 50-odd nephrology fellows who work together to build a monthly education package for the Renal Fellow Network. These are actual cases (without patient identifying information)…
Metabolic acidosis is a common condition encountered routinely by Nephrologists. Etiology of this condition is quite varied often requiring detailed history and a battery of tests to tease out the diagnosis. In most of the scenarios, co-existing biochemical…
A 70 year old Ghanaian man was recently admitted under our care. He had been diagnosed with aggressive myelodysplasia 2 months previously after presenting with fatigue and abnormal blood results (WBC 50.3, platelets 130 and LDH 928 at…
A 46 year old man with a recent diagnosis of acute leukemia and white count of 90,000 was transferred to our facility with non-oliguric AKI secondary to tumor lysis syndrome. The patient was hypocalcemic (Ca 5.2mg/dl) and hyperphosphatemic…
The May issue of AJKD (Vol.55, No.5) had a nice supplement on TLS and AKI. Here is the link. Tumor lysis syndrome (TLS) describes a condition with significant clinical and lab abnormalities caused by rapid and massive tumor…
