Case Presentation: An 80-year-old female with a history of hypoxic encephalopathy, chronic respiratory failure on mechanical ventilation through tracheostomy, End stage renal disease on hemodialysis through right arm arterio-venous fistula who presented immediately after dialysis [...]
Background: Peripherally inserted central catheters (PICCs) are associated with central vein stenosis and failure to establish a functioning arteriovenous fistula. Thus, guidelines recommend avoiding PICC placement when patients with chronic kidney disease (CKD) are likely [...]
Background: Many end stage renal disease (ESRD) patients present with complaints related to missed or incomplete hemodialysis (HD). Inpatient HD units often are not credentialed for outpatient use which results in extra cost and consumes [...]
Case Presentation: A 54-year-old female with past medical history significant for major depression with prior suicide attempt was brought to the hospital after a repeat attempted suicide. She reportedly consumed several aspirin pills, but the [...]
Case Presentation: A 62 year old man with a history of alcohol dependence, chronic hepatitis B & C and Child C liver cirrhosis presented with a 3 day history of shortness of breath and pleuritic [...]