Background: Angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs) are commonly-used antihypertensives which, despite renoprotective properties, can contribute to acute kidney injury (AKI)(1). Iodinated contrast media may also precipitate AKI, namely contrast-induced nephropathy (CIN), which has been associated with adverse patient outcomes(1–3). ACE inhibitors and ARBs are often held in the setting of iodinated [...]

Background: The novel coronavirus disease 2019 (COVID-19) has demonstrated a range of presentations and outcomes affecting multiple organ systems. Acute kidney injury (AKI) associated with hospitalized patients with COVID-19 and related outcomes vary widely according to early reports. This study aimed to determine the prevalence of AKI, AKI in the setting of chronic kidney disease [...]

Background: Therapeutic paracentesis is a common procedure performed to relieve symptoms of ascites most commonly from cirrhosis, heart failure or malignancy. Previous studies have shown that acute kidney injury (AKI) is common after paracentesis and portends a poor prognosis, although these studies have excluded patients with pre-existing chronic kidney disease (CKD). Experiences in our hospital [...]

Case Presentation: An elderly male with a pertinent past medical history of carpal tunnel syndrome, and chronic diarrhea, presents with complaints of progressively worsening anasarca and associated dyspnea. He has had multiple hospitalizations for dyspnea over the last six months, thought to be due to transudative pleural effusions. Outpatient work-up, including echocardiogram and subspecialty consultation [...]

Case Presentation: This patient is a 74-year old male with CAD, HFpEF, HTN, Type 2 DM, CKD3, and obesity admitted for sepsis secondary to bilateral lower extremity purulent cellulitis, complicated by acute decompensated heart failure. He was started on cefepime 2 g twice daily and on vancomycin (vanco), dosed daily by level. After receiving only two doses of vanco 1g, the patient was found to have persistently elevated [...]

Case Presentation: An 86-year-old female with history of hypertension and endometrial cancer was admitted for acute kidney injury. On presentation, patient’s creatinine was 3.06 mg/dL, associated with a dipstick urinalysis showing proteins 100 mg/dL. She was unresponsive to intravenous fluids, demonstrated by a persistent rise in her creatinine to 3.89 mg/dL. Urine output and oral [...]

Case Presentation: A 65-year-old male with a past medical history of bladder cancer, chronic kidney disease stage 3, colon cancer s/p colectomy with colostomy 2016, chronic hypotension on midodrine who presented initially with three days onset of inability to tolerate oral intake due to nausea, vomiting, and increased colostomy output. Other positive findings on the [...]