At AlQabbary nephrology department, we had to insert a permanent external iliac HD catheter, for a patient with multiple access failure. We didn't have fluoroscopy at that day. Under US guidance, the external iliac vein was localized and punctured. The guide wire was inserted and the subcutaneous track was made, then the catheter was inserted … Continue reading Don’t have fluoroscopy? US can help!
Systemic sclerosis and scleroderma renal crisis (SRC), multiple questions!
I recently got a 68-years-old female with systemic sclerosis and SRC who is maintained and stable on Ramipril, steroids 5 mg, hydroxychloroquine with an ESR of 20 in the first hour. She also has T2DM, maintained and controlled on Metformin and insulin glargine, and controlled hypertension using Ramipril. She presented with dry cough, which doesn't … Continue reading Systemic sclerosis and scleroderma renal crisis (SRC), multiple questions!
HD catheter malfunction, an unexpected cause
The 55-year old lady, with ESKD on MHD recently had hip fracture, and was unable to measure her weight before and after HD. The UF was estimated using clinical examination, including measuring her blood pressure, chest auscultation and examining her lower extremities for the presence of edema. Her recently inserted permanent IJ HD catheter was … Continue reading HD catheter malfunction, an unexpected cause
NephinP 