Tag Archives: renal failure

Hepatorenal Syndrome – Slide Presentation

Below is the PowerPoint presentation of a talk on the Hepatorenal Syndrome that I gave today to the Fall Medical/Surgical  Conference sponsored jointly by the Lubbock-Crosby-Garza Medical Society and the Covenant Health System.   Click to download the PowerPoint presentation Hepatorenal Syndrome


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The Ultimate Problem

The article below was originally published in 1983. I think it’s still relevant to any current discussion of euthanasia. It also appears under the Seminars in Nephrology Editorials. Mr. Lincoln (not his name) was a 54-year-old man with metastatic prostatic cancer and chronic renal failure. He had been on dialysis for a number of years…


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Hepatorenal Syndrome

The September 24th issue of the New England Journal of Medicine has an excellent review article by Ginès and Schrier on Renal Failure in Cirrhosis. It reviews the pathogenesis of the circulatory events by which severe liver disease compromises renal function. Surprisingly, the authors omit a key step in the pathophysiology of compensated cirrhosis. Look…


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Dermal Deposits of Gadolinium in NSF

The gadolinium and NSF story continues to become clearer. A paper in the July issue of the Clinical Journal of the ASN shows deposition of gadolinium in the skin of a patient who developed Nephrogenic Systemic Fibrosis (NSF). Traces of iron were also found. NSF is seen exclusively in patients with renal failure; most of…


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More on Gadolinium and NSF

More evidence mounts supporting the causal role of gadolinium containing MRI contrast agents and nephrogenic systemic fibrosis (NSF) in patients on dialysis. Two papers in the June 2008 issue of the American Journal of Kidney Diseases examine the issue. Kallen, et all report that “Receipt of gadolinium-containing MRI contrast is associated with NSF in a…


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Cisplatin Nephrotoxicity

The pdf file below contains a detailed review of Cisplatin Nephrotoxicity that we published the the August 2007 issue The American Journal of the Medical Sciences. cisplatin-nephrotoxicity


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