Document Detail

Pericardial effusion presenting with anuric acute renal failure and hepatocellular damage.
MedLine Citation:
PMID:  19140198     Owner:  NLM     Status:  MEDLINE    
A 50-year-old male with anuria, creatinine of 5.5 and potassium of 6.5 was referred to our hospital for hemodialysis. Before hemodialysis could be initiated, his blood pressure dropped and liver function tests were found to be increasing rapidly. This prompted us to look for cardiac causes of liver ischemia. An echocardiogram was non-diagnostic due to the patient's obese body habitus. Pericardial fluid was documented on CT scan. Pericardiocentesis was performed and nearly 1500 ml of bloody pericardial fluid was removed. This resulted in immediate urine output, with 80 ml in the first hour, and an increase in blood pressure.
Raza Khan; Charles Gessert; Stephen Bockhold
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of hospital medicine : an official publication of the Society of Hospital Medicine     Volume:  4     ISSN:  1553-5606     ISO Abbreviation:  J Hosp Med     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-19     Completed Date:  2009-11-10     Revised Date:  2010-06-30    
Medline Journal Info:
Nlm Unique ID:  101271025     Medline TA:  J Hosp Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  68-70     Citation Subset:  IM    
Department of Hospital Medicine, SMDC Health System, Duluth, Minnesota 55805-1983, USA.
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MeSH Terms
Anuria / diagnosis*,  etiology,  surgery
Diagnosis, Differential
Kidney Failure, Acute / diagnosis*,  etiology,  surgery
Liver Diseases / diagnosis*,  etiology,  surgery
Middle Aged
Pericardial Effusion / complications,  diagnosis*,  surgery
Pericardiocentesis / methods

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