Sonographic diagnosis of adenoma depletion syndrome (McKittrick-Wheelock-Sdr.) as the cause of acute renal failure with profound electrolyte disturbance

2013 ◽  
Vol 34 (S 01) ◽  
Author(s):  
KH Seitz ◽  
A Grützmann ◽  
J Baral
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Electrolyte Disturbance ◽  
Sonographic Diagnosis

Enteral Clostridium difficile, an emerging cause for high-output ileostomy

2009 ◽  
Vol 62 (10) ◽  
pp. 951-953 ◽  
Author(s):  
R N Williams ◽  
D Hemingway ◽  
A S Miller
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Small Intestine ◽  
Small Bowel ◽  
Clostridium Difficile ◽  
Colonic Disease ◽  
Disease Manifestation ◽  
Electrolyte Disturbance ◽  
Management Algorithm ◽  
High Output

The loss of fluid and electrolytes from a high-output ileostomy (>1200 ml/day) can quickly result in dehydration and if not properly managed may cause acute renal failure. The management of a high-output ileostomy is based upon three principles: correction of electrolyte disturbance and fluid balance, pharmacological reduction of ileostomy output, and treatment of any underlying identifiable cause. There is an increasing body of evidence to suggest that Clostridium difficile may behave pathologically in the small intestine producing a spectrum of enteritis that mirrors the well-recognised colonic disease manifestation. Clinically this can range from high-output ileostomy to fulminant enteritis. This report describes two cases of high-output ileostomy associated with enteric C difficile infection and proposes that the management algorithm of a high-output ileostomy should include exclusion of small bowel C difficile.

Pathophysiology of acute renal failure

1973 ◽  
Vol 131 (6) ◽  
pp. 911-928 ◽  
Author(s):  
W. Flamenbaum
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure
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