Background: Renal complications of diabetes mellitus pose a significant public health challenge, contributing to substantial morbidity and mortality globally. Understanding temporal trends and regional disparities in mortality related to diabetic nephropathy is crucial for guiding targeted interventions and policy decisions. Our study aims to analyze the trends and regional differences in mortality related to renal [...]

Background: Our standard Hypoglycemia Protocol primarily utilizes juice to treat hypoglycemia. The system currently allows both the Hypoglycemia Protocol and a renal diet to be active simultaneously. This algorithm has no restrictions on administering orange juice to treat hypoglycemia for patients despite exclusion of orange juice for patients on a renal diet. Considering anecdotal instances [...]

Background: Kidney injury significantly reduces renal clearance, posing unique challenges for patients with type II diabetes, particularly those on insulin. This reduced clearance can lead to elevated insulin levels, increasing the risk of hypoglycemia and subsequent complications, which often extend the patient’s length of stay (LOS). Chronic kidney disease (CKD) itself is an independent risk [...]

Case Presentation: A 48-year-old man with end-stage renal disease due to IgA nephropathy underwent a deceased donor kidney transplant in 2008, which resulted in graft failure. A second transplant in 2019 required additional thymoglobulin due to high panel reactive antibodies and was complicated by BK nephritis, treated with leflunomide. Since treatment, he had persistent leukopenia, [...]

Case Presentation: The patient is a 69-year-old female with hemoglobin S/C disease, hypertension, and chronic kidney disease who presented to the hospital for lower back pain in the setting of a fall. CT scan demonstrated an L1 compression fracture and an incidental finding of cystic lesions in the liver and kidneys. Subsequent MRI demonstrated innumerable [...]

Case Presentation: A 25-year-old Spanish-speaking man with a history of hypertension and post-streptococcal glomerulonephritis (PSGN) presented to the Emergency Department with abnormal kidney function tests. Two months earlier, his creatinine level was 2.68 mg/dL at an outside institution. He denied symptoms such as hematuria, dysuria, or edema. Physical examination revealed elevated blood pressure (172/92 mm [...]

Case Presentation: A 50-year-old man with a pmh of CKD stage 2 was admitted to our hospital for nausea, vomiting and acute kidney injury (AKI).2 months prior to presentation, he had been diagnosed with metastatic synovial sarcoma and had completed his first cycle of doxorubicin, ifosfamide, and mesna that was complicated by a mild AKI [...]

Case Presentation: A 47-year-old female with a history of hypertension was admitted with worsening dyspnea, leg swelling, and a blood pressure of 219/147. She was nonadherent to home BP meds due to cost. Exam showed signs of fluid overload, including pitting edema and jugular venous distention. Labs revealed elevated serum creatinine (1.38 mg/dL), calcium (11.0 [...]

Case Presentation: A 77-year-old male with history of hypertension, hyperlipidemia, type 2 diabetes mellitus, and chronic kidney disease (stage 3a) presented with generalized weakness and fatigue. He denied other symptoms, including myalgias, cold intolerance, or oliguria. Laboratory evaluation revealed blood urea nitrogen (BUN) of 56.9 mg/dL, serum creatinine (SCr) of 5.93 mg/dL, and glomerular filtration [...]

Case Presentation: Hypermagnesemia is a rare, but potentially fatal clinical condition. We report a case of symptomatic hypermagnesemia in an 84-year-old female with stage 4 CKD who was taking daily magnesium oxide with intermittent milk of magnesia for chronic constipation. She presented with confusion, delayed verbal and motor response, and dyspnea and her presentation was [...]