Image from Radiology Picture of the Day http://www.radpod.org/2007/06/19/xanthogranulomatous-pyelonephritis/ |
Sunday, November 26, 2017
From the Nate Hellman Unpublished Archive: Xanthogranulomatous Pyelonephritis
Labels:
Nathan Hellman,
urinary tract infection,
Urology
Friday, November 24, 2017
Tramadol and Hyponatremia
A patient presents to the emergency department with complaints of pain.This is a common scenario seen over and over again in emergency rooms around the world on a daily basis. The recent crackdown on opioid prescriptions over the last several years have led to the proliferation of other medications given for pain in which significant toxicities exist. One of those with the most egregious offenses is Tramadol. See Tweet thread below from David Juurlink
In this case the patient was started on tramadol just 2 weeks before presentation for leg pain. Now the patient is back in the ED for new onset nausea and continued leg pain. No other medications or illicit drug use was noted. On physical examination, the patient was euvolemic with a normal neurologic exam. Cardiac and pulmonary examination was within normal limits. An electrocardiogram revealed bradycardia (heart rate 56) and normal sinus rhythm. Computed tomography of the head without contrast revealed no abnormalities.“What’s wrong with tramadol?” is something I get asked a lot— David Juurlink (@DavidJuurlink) October 21, 2017
Answer: Plenty
Thread ->
Typical Laboratory tests in this scenario show only mild hyponatremia. In this presentation severe hyponatremia (109 mg/dL) was seen.
- serum hypoosmolality (254 osm/kg)
- urine hyperosmolarity
- urine sodium (95 meq/L).
Given the physical examination and laboratory tests, a diagnosis of inappropriate secretion of ADH was made. The patient had no obvious source of inappropriate ADH secretion other than tramadol use and nausea. The nausea was likely a symptom of severe hyponatremia.
Tramadol was discontinued as it was the likely culprit and fluid was restricted to 1L over 24 hours.
-On day 1 of hospitalization, serum sodium rose from 109 meq/L to 115 meq/L over the first 4 hours and then to 119 meq/L over the following 24 hours.
-Day 2, the patient’s nausea had improved and the urine sodium level decreased to 40 meq/L.
-Day 3 of admission, serum sodium rose to 128 meq/L.
In hospitalized patients, hyponatremia (defined as serum sodium level less than 135 meq/L) is the most common electrolyte abnormality. Within the last two years, one retrospective cohort study revealed a 2-3 fold increased risk of hyponatremia in patients who used tramadol compared with codeine use. The mechanism of hyponatremia is thought to be related to increased antidiuretic hormone (ADH) release in response to morphine receptor agonism as well as increased serotonin release which can also stimulate ADH secretion.
Tramadol is a commonly prescribed medication, ranking as the 20th most prescribed medication among thousands of available medications in a study done in 2011. As the opioid epidemic continues to grow, we must be vigilant of the severe adverse effects of these commonly prescribed medications.
Samira Farouk, MD
Chief Fellow
Division of Nephrology
Icahn School of Medicine at Mount Sinai
*this is a fictionalized case based on a true account, details have been modified/changed
Tuesday, November 21, 2017
Applications Open for the Nephrology Social Media Collective (NSMC) Internship
The
Nephrology Social Media Collective (NSMC) internship was established in
2015 with the goal of training health care professionals to be leaders in the next wave
of medicine. Leadership is going to require effective communication through social media. The ability to define your personal
online identity is a core competency of the future.
The NSMC internship will give you modern communication skills that will not be taught at the hospital. Join the 4th class of interns and boost your social media presence.
The NSMC internship will give you modern communication skills that will not be taught at the hospital. Join the 4th class of interns and boost your social media presence.
CLICK HERE TO APPLY
Sunday, November 19, 2017
From the Front Lines of Hurricane Harvey: A Nephrology Fellow’s Perspective
Interstate 10 at the 610 Intersection in Houston During Hurricane Harvey (2017) |
Ritu Patel and Pinakin Patel |
Aside from extending a helping hand in the dialysis unit, my father and I volunteered some time at the NRG arena make shift shelter. This shelter was in addition to the American Red Cross Center that was set up at George R. Brown Center. The medical care was very efficiently set up. Harris County Health had set up a great mini-clinic as many Houstonians were already registered in the system. CVS and Walgreens also had mini pharmacies set up for patients to pick up their outpatient medications. There was an overwhelming response of community physicians as well that had come out to help. Volunteers ranged from medical students, nurses, residents, fellows, nurse practitioners, and attending physicians, not only from the Houston area but from places all over the United States. Even though there was no hemodialysis being done at NRG, medical director, Dr. Adrogue Jr, opened up Dialyspa in the NRG area to help accommodate the displaced victims get the treatments they needed. As a physician volunteering, I spent my time at NRG arena triaging patients. We decided if the patient could be watched and treated at NRG arena or if they needed to go to the hospital for further evaluation or more complex medical treatment. This was to help alleviate the limited resources many hospitals in the area were facing.
Hurricane Harvey did leave behind a significant death toll, taking number two to Hurricane Ike. Many lessons can be learned from this.
- Preparing patients to be in an alternate location was a key point that proved to be beneficial for patients and caregivers alike.
- When patients are armed with information of their past medication history, medication list, and treatment regimens, makes it easier on the transient physician to continue the same regimen.
- Ensure that patients carry at least a 5-day supply of medication on their self when a natural disaster is about to hit. A common reason patients presented for medication refills was that the flood waters swept away their medications. Having a pill box stocked with 5 to 7-day supply medication can help bridge the time until a patient can get help.
- Make sure an emergency contact is updated for patients is vital. In instances where the patient is unreachable, having an alternate phone number or emergency contact to ensure the safety of a patient will allow physicians to keep better track of them.
- In regards to physician preparedness, make sure staff has reliable access to get to work and back home. Without staff, dialysis units are rendered non-functional. In this instance, it would also be helpful if the physician or medical director responsible for the dialysis unit was trained in setting up the dialysis machine and prepping the bicarb and K baths.
Ritu Patel, MD @RituPatelMD
Nephrology Fellow
Houston Methodist
Saturday, November 11, 2017
Free Online Learning Module: Hemodialysis Kinetics 101 The ‘key’ to KT/V urea
Hemodialysis 101: The "key" to KT/V urea
Namrata Krishnan, Assistant Professor of Medicine at Yale has hit it out of the park. She has a fantastic online module to understand hemodialysis kinetics. This module is jam packed with clinical vignettes, well produced videos, explanatory posts, and links to primary literature. I would highly recommend this module to anyone wanting to know more about how hemodialysis works. You can all follow Namrata on Twitter.
Matt Sparks
Monday, November 6, 2017
Fellow Travel Award Opportunity to the Annual Dialysis Conference 2018, Orlando Fl
The Annual Dialysis Conference 2018 that will be held in Orlando, FL March 3-6, 2018.
This conference has an excellent opportunity for fellows to present cases, both posters and oral presentation.
Fellows can apply for a grant for registration and travel.
Case Summary Grants Nephrology
Fellows are invited to submit a 1-page case summary of a challenging or unusual dialysis experience. A $1000 grant will be awarded to the best 20 cases submitted. In addition, the authors of the top 6-8 cases will be selected to present their cases in the Fellows Forum Session of the main conference. Case summaries should be organized like abstracts and be written in a manner to entice audience interaction.
Requirements for Grant Consideration
- Must be a nephrology fellow in an ACGME approved nephrology training program.
- A letter must be submitted indicating your desire to apply for the case summary grant. The letter needs to be signed by your nephrology fellowship program director and verify that you are a second year fellow.
- A conflict of interest form needs to be submitted. You may download a COI form here.
- A 1-page case summary.
- All documents need to be submitted by the submission deadline to Claire Oser via email (oserc@health.missouri.edu) or fax (573-884-4820).
Kunal Malhotra MD FNKF
Assistant Professor of Clinical Medicine (Nephrology)
Director, Chronic Dialysis Unit
University of Missouri Hospitals and Clinics
Columbia, MO 65212.
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