An 80-year-old man with stage 4 chronic kidney disease, 2 days of anuria, and an elevated serum κ to λ free light chain ratio had a bone marrow biopsy that stained positive for the plasma cell marker CD138. What would you do next?
This randomized clinical trial compares the effect of vasopressin vs norepinephrine on kidney failure in patients with septic shock.
This meta-analysis involving 721 357 patients across 31 cohorts and 30 countries evaluated the accuracy of kidney failure risk equations to predict the 2-year and 5-year probability of kidney failure in patients with chronic kidney disease.
A 64-year-old African American woman presented with crusted scalp plaques, erosive stomatitis, and multiple bullae, erosions, and hyperpigmented patches on her trunk and extremities. Her serum creatinine level was 7.1 mg/dL; a complete blood cell count was unremarkable. What would you do next?
This systematic review and meta-analysis assesses the association between several means of blood pressure–lowering treatment and vascular disease in patients with diabetes.
To examine the effect of low-dose dopamine or low-dose nesiritide added to diuretic therapy on decongestion and renal function in patients with acute heart failure, Chen and coauthors conducted a randomized clinical trial in 360 patients with heart failure and renal dysfunction in North America.
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