In:
BJR|case reports, British Institute of Radiology, Vol. 7, No. 5 ( 2021-09), p. 20210057-
Kurzfassung:
We present a 1-year-old boy who presented to the emergency department with a 7-day history of diarrhoea and vomiting. The initial renal function profile demonstrated a urea of 55 mmol l −1 (normal range between 5 and 20 mmol l −1 ), creatinine 695 micromol/L (normal range between 62–106 micromol/L) and potassium 9.1 mmol l −1 (normal range between 3.5–5.0 mmol l −1 ), with a profound metabolic acidosis. Upon examination, there were no significant findings, specifically no neurological abnormality. He was prescribed back-to-back Salbutamol nebulisers, to increase the shift of extracellular potassium into the intracellular space, followed by i.v. calcium gluconate, with some improvement in potassium levels. A further 5 mmol of sodium bicarbonate was given, as well as a stat dose of 1 mg/kg furosemide, and per rectal calcium resonium. He was then commenced on an infusion with 10% dextrose with insulin. He was subsequently found to be in urinary retention and a catheter was inserted, which drained 1700 ml. A subsequent renal function profile, 24 hours after admission, demonstrated improvement with urea 39 mmol l −1 , creatinine 300 micromol/L and potassium 3.0 mEq/L.
Materialart:
Online-Ressource
ISSN:
2055-7159
DOI:
10.1259/bjrcr.20210057
Sprache:
Englisch
Verlag:
British Institute of Radiology
Publikationsdatum:
2021
ZDB Id:
2912937-0
