Background: Peripherally inserted central catheter (PICC) use in patients with chronic kidney disease (CKD) is associated with non-functioning arteriovenous fistulae. Existing guidelines recommend avoiding PICC placement in these patients but how often this occurs and how best to implement this recommendation is not known. Methods: Within 42-hospitals participating in the Michigan Hospital Medicine Safety Consortium [...]

Case Presentation: A 66-year old woman, with a history of renal transplant for diabetes related end-stage renal disease, was admitted to the hospital by her transplant team, for significantly abnormal serum creatinine level of 8.6 mg/dL from her baseline creatinine value of 1.6 mg/dL. Of note, she underwent cystoscopy by urology 2 weeks prior for [...]

Case Presentation: A 56-year-old man with PMH chronic kidney disease (CKD) stage II, adjustment disorder, methamphetamine (meth) abuse, last use 2 days before admission, presented with decreased urine output, “coffee-colored” urine, diffuse muscle pain, severe back pain, and fatigue for 1 day. Urine was positive for amphetamines, CPK 218,000 mcg/L, AST, and ALT were 1254 [...]

Background: We aimed to represent the effects of SARS Co V -2 on kidney functioning during the COVID-19 pandemic in patients of varied baseline GFR values staged into renal categories of one to five. Methods: We conducted a single-center, retrospective study using data of patients hospitalized for COVID-19 with acute kidney injuries. Demographic characteristics, clinical [...]

Background: Atrial Fibrillation (AF) associated with Chronic Kidney Disease (CKD) is a prevalent condition in the United States, significantly impacting global morbidity and mortality. Understanding temporal patterns in AF-related mortality among CKD patients is crucial for effective clinical and public health strategies. This study aimed to evaluate trends and regional disparities in AF-associated CKD mortality [...]

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: 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 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 32-year-old man with a past medical history of hypertension and stage IV chronic kidney disease (CKD) was brought to the hospital by emergency medical services after he was found unresponsive. His initial blood pressure was 266/166 mmHg in the ambulance.Upon physical examination, patient remained unresponsive, with occasional gaze deviation to the right [...]

Case Presentation: 46 year old male with HTN presented to our facility with frequency, difficulty urinating and dribbling. Imaging revealed urinary retention, multiple 1mm non-obstructing renal calculi, lytic lesions in the axial skeleton, and numerous cysts within the kidneys, compatible with long standing kidney disease. Despite relief of obstruction via bladder catheterization, minimal renal improvement [...]