A Web of Trouble in the Pericardium

Uremic pericarditis
A 36-year-old male presents with a complex pericardial effusion showing fibrinous strands on echo. Discover the key findings and underlying systemic diagnosis.
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Gas-Forming Kidney Infection

Emphysematous pyelonephritis
A medical case of a severe kidney infection presenting with leukocytosis and hyperglycemia. CT reveals gas in the kidney, a hallmark of a life-threatening condition.
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What Do Your Nails Say?

Chronic kidney disease
Discover a classic physical exam finding involving the nails. Learn to recognize this 'half-and-half' nail appearance and the systemic disease it points to.
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A Gassy Kidney Complication

Emphysematous pyelonephritis
Explore the case of a 51-year-old male with diabetes presenting with fever, leading to a life-threatening kidney infection. Learn key diagnostic clues.
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Toddler’s Kidney Stones: A Rare Cause

Primary hyperoxaluria
Explore the case of a toddler with recurrent genitourinary stones and hematuria. Learn about the rare metabolic disorder that predisposes children to stone formation.
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A Surprising Finding Around the Kidney

Perirenal extramedullary hematopoiesis
A 69-year-old woman with myelofibrosis and CKD presents with dyspnea. An abdominal MRI reveals an unusual perirenal mass. What is the diagnosis?
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A Frosty Sign of Systemic Disease

End-stage renal disease
A 39-year-old man presents with anorexia, nausea, oliguria, and unusual skin deposits. What is the underlying cause of these severe systemic symptoms?
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When Cysts Crowd the Liver

Autosomal dominant polycystic kidney disease
A 51-year-old woman presents with worsening abdominal pain. Exam and imaging reveal an enlarged liver filled with cysts. What is the underlying cause?
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Kidney Injury After TAVR

Cholesterol crystal embolization
A 79-year-old man develops acute kidney injury 1 month after TAVR. Explore the diagnosis based on his history of atheroma and key renal biopsy findings.
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A Bitter Taste and White Tongue Plaques

Uremic stomatitis
A 26-year-old man presents with an altered sense of taste, weight loss, and white plaques on his tongue. Explore the diagnosis for this rare oral sign.
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