IntroductionSerum cystatin C increases earlier than creatinine during acute kidney injury. However, whether decreases recovery is unknown. This retrospective study aimed to determine the temporal trend between and in injury.MethodsWe identified hospitalized patients with nonoliguric injury who had serial values measured May 2015 2016. Demographic laboratory data, causes of injury, relevant comorbidity data were collected through chart review.ResultsFor 63 patients, mean (SD) age was 58.7...

Significant debate exists on the association between Helicobacter pylori infection and childhood asthma. We aimed to explore this in a cohort of children Palestine while estimating prevalence H. population. conducted prospective case-control study among aged 6-15 years Palestine, including 44 asthma cases diagnosed by pediatric pulmonologists 99 age-matched healthy controls recruited through cluster sampling from schools. status was determined using stool antigen test. Asthma severity...

Background: The purpose of this study was to investigate the rate and risk factors associated with development acute kidney injury after total hip arthroplasty, including perioperative use nonsteroidal anti-inflammatory drugs (NSAIDs). Methods: We retrospectively collected demographic comorbidity data all patients who underwent arthroplasty between 2004 2014 at our institution (n = 8,949). conducted analyses entire cohort a nested case-control subset. Subjects developed were matched by age,...

Dysmorphic red blood cells (dRBCs) on urine microscopy have been associated with glomerulonephritis (GN). We assessed the prevalence and ability of dRBCs to differentiate GN from other kidney diseases.Adult patients biopsy performed between 2012 2015 at a single center who had concurrent urinalysis were retrospectively studied. The association ≥25% presence glomerular pathology was assessed. Univariate multivariate logistic regression significantly variables.The mean age 482 eligible...

In the dialysis center in Ramallah, we investigated attitudes and perceived barriers to having arteriovenous fistula (AVF) 156 patients. The current method of HD access was AVF 52% central venous catheter 47%. Perceived causes no or delayed were: patient's refusal 54.5%, late referral a surgical evaluation 31.3% too long appointments 14.2%. Among those who refused AVF, reasons concern about procedure 42.5%, poor understanding disease/access 23.3%, fear needles 15.1%, denial disease need for...

Background: Some nephrologists remove tunneled hemodialysis catheters (TDC) at the bedside, but this practice has never been formally studied. Our hypothesis was that bedside removal of TDC is a safe and effective procedure affording prompt removal, including in cases suspected infection. Methods: We reviewed our consecutive 3-year experience (2007–2009) with University Mississippi Renal Fellowship Program. Data were collected on multiple patients procedure-related variables, success...

The long-term results of surgical parathyroidectomy (PTX) in end-stage renal disease (ESRD) patients are less well known the modern era newer activated vitamin-D analogs, calcimimetics and intraoperative monitoring parathyroid hormone (PTH).We performed a retrospective chart review all ESRD undergoing PTX at University Mississippi Medical Center between January 2005 August 2011, with follow-up data as available up to 4 years. All PTXs were second-generation PTH targeted gland size...

Several approaches to initiation of antihypertensive therapy have been suggested. These include thiazide diuretics (TDs) as the first drug in all patients, initial selection based on age and race criteria, or measures plasma renin activity (PRA). It is uncertain which these strategies achieves highest control rate with monotherapy Stage-I hypertension. We sought compare rates among strategies. used data from Pharmacogenomic Evaluation Antihypertensive Responses study (PEAR) estimate for each...

Hysteroscopic surgery is a minimally invasive procedure used to diagnose and treat intrauterine pathologies. It requires distension of the uterine cavity for adequate visualization operative field. Glycine (1.5%) one most commonly solutions because it nonconductive also has good optical properties. However, acute hyponatremia critical complication that can develop after absorption sufficient amount irrigation medium. Case Presentation. We report case 43-year-old female patient who developed...

Bedside removal of tunneled hemodialysis catheters (TDC) by noninterventional Nephrologists has not been frequently performed or studied. We a retrospective review bedside TDC at the University Mississippi Medical Center between January, 2010 and June, 2013. collected data on multiple patients procedure-related variables, success, complications rates. Of 138 subjects, mean age was 50 (±15.9) years, 49.3% were female, 88.2% African American 41% diabetics. Site right internal jugular (IJ) in...

We report a case of 50-year-old malnourished African American male with hiccups, nausea and vomiting who was brought to the Emergency Department after repeated seizures at home. Laboratory evaluations revealed sodium (Na(+)) 107 mmol/L, unmeasurably low potassium, chloride < 60 bicarbonate 38 mmol/L serum osmolality 217 mOsm/kg. Seizures were controlled 3% saline IV. Once iv antiemetics, he developed large volume free water diuresis 6 L dilute urine in 8 h (urine 40-60 mOsm/kg) rapidly rose...

Malignant metastasis to the psoas muscle is rare. We report a case that clinically mimicked abscess was subsequently proven be from metastatic disease secondary adenocarcinoma of duodenum. A 62-year-old male presented with seven-month history right lower quadrant abdominal pain and progressive dysphagia. CT scan abdomen-pelvis revealed infiltration not amenable surgical drainage. Patient treated two courses oral antibiotics without improvement. Repeated showed ill-defined low-density area...

Referral time for end-stage renal disease (ESRD) patients to nephrologists and initial vascular access method are considered significant factors that impact health outcomes at the of hemodialysis (HD) initiation. Native arteriovenous fistula (AVF) is strongly recommended as access. However, little known about referral rate among ESRD receiving HD in Palestine its correlation with AVF creation. In Ramallah Hemodialysis Center, we investigated pre-dialysis nephrology care usage 156 patients....

Mixed connective tissue disease (MCTD) is a rheumatic syndrome with overlapping features of scleroderma, systemic lupus erythematosus, and polymyositis. An extremely rare but serious complication that can occur in MCTD scleroderma renal crisis (SRC). There have been different approaches to the treatment SRC associated MCTD. We present case chronic Raynaud’s phenomenon, dermatomyositis, thrombocytopenia complicated acute which showed great response ACE inhibitors. Here, we advise early...