Posts Tagged ‘hypophosphatemia’

Wasting Away

Posted by • March 7th, 2014

In the latest Clinical Problem-Solving article, a 40-year-old woman presented to the emergency department with pain, weakness, and poor oral intake. In the 3 months preceding presentation, she noted the gradual onset of bilateral diffuse flank pain that progressed to affect her lower back, abdomen, and both arms and legs. On skeletal imaging, osteomalacia can present… Read More…

Continuous Renal-Replacement Therapy

Posted by • December 28th, 2012

In the latest review article in our Clinical Therapeutics series, a 20-year-old man with Marfan’s syndrome develops acute kidney injury after an aortic-valve replacement that was complicated by thoracic aortic dissection. Continuous renal-replacement therapy, rather than intermittent hemodialysis, is recommended because of hemodynamic instability. Acute kidney injury is characterized by a sudden decrease in kidney function… Read More…

Dysfunction of the Diaphragm

Posted by • March 9th, 2012

Dysfunction of one or both hemidiaphragms is an underdiagnosed cause of dyspnea. Weakness or paralysis may be seen during mechanical ventilation, after surgery or trauma, with metabolic or inflammatory disorders, and with myopathy, neuropathy, or diseases causing lung hyperinflation. The latest article in our Current Concepts review series includes videos showing ultrasonography of normal and… Read More…