Had a pt 36 yr old with 8 wks pregnancy come in today with seizures and metabolic Acidosis. There was a h/o oral consumption of 30 ml of #eucalyptus oil.
There was no kidney dysfunction. I was called for Rx of Acidosis. I have not seen eucalyptus oil poisoning before.
In adults, death is commonly seen after ingestion of 30 ml, but can be encountered after 4-5 ml also. ncbi.nlm.nih.gov/pmc/articles/P…
ECG of a 65 yr old male pt who was admitted with AoCKD, Screat of 4.1 mg (was 2.6 mg 3m ago). K was 9.0
What changes of hyperkalemia do you see on this ecg? Why is there no Bradycardia or "sine wave" pattern? How would you Rx this? #Meded#nephtwitter
The possibility of pseudohyperkalemia was considered especially blood sample lysis. Nevertheless Rx of hyperkalemia was started in right earnest and a repeat fresh sample of blood was sent, drawn without applying a torniquet.
(Pic courtesy : ijcasereportsandimages.com/archive/articl…)
May 14, 2021 • 12 tweets • 9 min read
The Indian Government has increased the gap btw the two doses of #COVID19 vaccination to 3 to 4 months now, ostensibly to improve protection but actually bcos of vaccine stock deficiency. This should NOT apply to Chronic Kidney Disease pts, #Dialysis & Transplant pts.
CKD pts, #dialysis and Transplant pts run a very high risk of morbidity and mortality (4 fold) with #COVID19 infection, much higher than diabetics and pts with heart disease or asthma (1.2 to 2 fold) nature.com/articles/s4158…
Mar 18, 2021 • 8 tweets • 4 min read
This is a Thread about the Indian caregiver.
Most #CKD & #Dialysis pts come with their relatives as caregivers when they come for an OP consult. Usually it is the spouse & sometimes, the children. I make it a point to enquire about their health even though they are not my pts 1/n
I will tell you why I do that with a couple of real-life events. My 55 yr old #CKD Pt came without her husband for a consult which was unusual. When I asked her, she started bawling out in distress, saying that he'd died of a heart attack the previous month. 2/n