Pub Date : 2022-01-01DOI: 10.25270/con.2022.07.000015
G. Thota, Yelizaveta Gribkova, R. Desai
{"title":"Neurosarcoidosis From Pituitary Expansion to Empty Sella","authors":"G. Thota, Yelizaveta Gribkova, R. Desai","doi":"10.25270/con.2022.07.000015","DOIUrl":"https://doi.org/10.25270/con.2022.07.000015","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.07.000016
G. Thota, Mehak Bassi, Niraj Nagaraj Ballam
Acute kidney injury (AKI) is defined as a rapid reduction in kidney function (within 48 hours) as measured by an increase in serum creatinine level, decrease in urine output, or need for renal replacement therapy, or all of the above. Herein, we present a rare case of AKI induced by oral valacyclovir. Nephrotoxicity due to valacyclovir is caused by intratubular precipitation of acyclovir crystals. A 39-year-old woman presents with acute onset of nonspecific reports of low back pain, nausea, and vomiting. After determining there was an AKI, the patient was treated with intravenous fluids and was monitored for improvement. The cause was deduced to be oral valacyclovir, which was being used to treat herpes labialis, and ultimately caused crystal-induced nephrotoxicity. Due to the rapid speed of renal excretion, acyclovir can surpass the solubility, and hence crystals can accumulate in the distal and collecting ducts. This can cause the symp-tomatology such as in this patient. In this case presentation and discussion, we re-view the presenting symptoms, diagnostic testing, differentials, and pathophysiology regarding crystal-induced AKI, specifically from valacyclovir.
{"title":"A Case of Oral Valacyclovir–Induced Acute Kidney Injury","authors":"G. Thota, Mehak Bassi, Niraj Nagaraj Ballam","doi":"10.25270/con.2022.07.000016","DOIUrl":"https://doi.org/10.25270/con.2022.07.000016","url":null,"abstract":"Acute kidney injury (AKI) is defined as a rapid reduction in kidney function (within 48 hours) as measured by an increase in serum creatinine level, decrease in urine output, or need for renal replacement therapy, or all of the above. Herein, we present a rare case of AKI induced by oral valacyclovir. Nephrotoxicity due to valacyclovir is caused by intratubular precipitation of acyclovir crystals. A 39-year-old woman presents with acute onset of nonspecific reports of low back pain, nausea, and vomiting. After determining there was an AKI, the patient was treated with intravenous fluids and was monitored for improvement. The cause was deduced to be oral valacyclovir, which was being used to treat herpes labialis, and ultimately caused crystal-induced nephrotoxicity. Due to the rapid speed of renal excretion, acyclovir can surpass the solubility, and hence crystals can accumulate in the distal and collecting ducts. This can cause the symp-tomatology such as in this patient. In this case presentation and discussion, we re-view the presenting symptoms, diagnostic testing, differentials, and pathophysiology regarding crystal-induced AKI, specifically from valacyclovir.","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.08.000001
Ryan C. Higgins, Madhavi Singh
{"title":"Acute Adrenal Crisis From Mental Stress in a Patient With Hypopituitarism","authors":"Ryan C. Higgins, Madhavi Singh","doi":"10.25270/con.2022.08.000001","DOIUrl":"https://doi.org/10.25270/con.2022.08.000001","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.08.000008
S. Hersh, Joshua Hersh, P. Gerard, Sana Ali
{"title":"Sudden Hearing Loss Linked to Metastatic Adenocarcinoma of the Temporal Bone","authors":"S. Hersh, Joshua Hersh, P. Gerard, Sana Ali","doi":"10.25270/con.2022.08.000008","DOIUrl":"https://doi.org/10.25270/con.2022.08.000008","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.08.000004
James J. Matera
{"title":"Systemic Lupus Erythematosus in a 24-Year-Old","authors":"James J. Matera","doi":"10.25270/con.2022.08.000004","DOIUrl":"https://doi.org/10.25270/con.2022.08.000004","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69418841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.07.00008
Bensson Samuel, Carmine Mazzuca
{"title":"Telemedicine: The Future of Office Visits","authors":"Bensson Samuel, Carmine Mazzuca","doi":"10.25270/con.2022.07.00008","DOIUrl":"https://doi.org/10.25270/con.2022.07.00008","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69419016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.10.000003
M. Grover, Sethu Sandeep Koneru
{"title":"Weakness in the Upper Extremity After a Fall","authors":"M. Grover, Sethu Sandeep Koneru","doi":"10.25270/con.2022.10.000003","DOIUrl":"https://doi.org/10.25270/con.2022.10.000003","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69420142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.10.000004
Jesse D. Bracamonte, Michael Underhill, Denise Schweda
{"title":"Oral Congenital Melanocytic Nevi: A Rare Finding","authors":"Jesse D. Bracamonte, Michael Underhill, Denise Schweda","doi":"10.25270/con.2022.10.000004","DOIUrl":"https://doi.org/10.25270/con.2022.10.000004","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69420282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.11.000002
Daniel A Reich, Carols A. Arango
{"title":"Allergic Asthma Therapy and Management","authors":"Daniel A Reich, Carols A. Arango","doi":"10.25270/con.2022.11.000002","DOIUrl":"https://doi.org/10.25270/con.2022.11.000002","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69420784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-01DOI: 10.25270/con.2022.11.000008
G. Thota, M. Shah, S. Chandna, Marnie E. Rosenthal
{"title":"Neurosyphilis in the Time of COVID-19: Avoiding Anchoring Heuristics","authors":"G. Thota, M. Shah, S. Chandna, Marnie E. Rosenthal","doi":"10.25270/con.2022.11.000008","DOIUrl":"https://doi.org/10.25270/con.2022.11.000008","url":null,"abstract":"","PeriodicalId":35575,"journal":{"name":"Consultant","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69422052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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