Abstract
A 12-year-old boy with rapidly progressive Focal Segmental Glomerulosclerosis and end-stage renal disease (ESRD) admitted to our pediatric hemodialysis (HD) unit. He presented with dyspnea and cough. He was on HD for 2 months and was on the waitlist for kidney transplantation. He was anxious and pale, had periorbital edema, bibasilar crackles in the lungs, and pitting edema in the lower extremities. His vital signs were: RR = 45/min, PR = 110/min, BP = 150/100 mmhg. His serum chemistries were: Cr = 7 mg/dL, BUN = 95 mg/dL, Albumin = 2.8 g/dL, Hb = 8.8 g/dL, Na = 145 meq/L, K = 5 meq/L, HCO3 = 12, PCO2 = 25, and PH = 7.24. Considering his first admission in a new HD unit, the critical situation, and the time limit for further examination, the clinician assessed the cardiovascular conditions at the bed of HD by point of care ultrasound (Focused echocardiogram).
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Badeli, H., Rad, A.H. (2021). Focused Echocardiogram: A Case Based Approach. In: Sethi, S.K., Raina, R., McCulloch, M., Bunchman, T.E. (eds) Advances in Critical Care Pediatric Nephrology. Springer, Singapore. https://doi.org/10.1007/978-981-33-4554-6_7
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