I'm Dr. Joshua Schwimmer, a nephrologist in New York City. • Kidney Notes was the first active nephrology blog, and The National Library of Medicine still uses Kidney Notes as an example of how to formally cite blogs in the medical literature. • Professionally, you can find me at Kidney.nyc. • Kidney Notes is for educational purposes only, not medical advice. Consult qualified health care professionals. See disclaimer.

Tuesday, May 16, 2006

Nephrology Cases #10: Cancer and Kidney Failure

A 65 year old man with previously normal renal function has a few days of poor appetite and is found to have a creatinine of 4 and widespread lymphadenopathy suspicious for lymphoma or leukemia. A urinalysis shows no proteinuria or hematuria. His renal function worsens despite intravenous fluids. What are the top four possible causes of his kidney failure? (Answers in comments.)