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Journal of Clinical Case Reports

ISSN: 2165-7920

Open Access

Garland Campbell

Division of Nephrology, Department of Medicine, University of Virginia, USA

Publications
  • Case Report   
    A Curious Case of Hypertensive Emergency and Acute Kidney Injury
    Author(s): Oluwaseun Oluwo*, Dennis Hu, Ashkan Karimi, Garland Campbell and Negiin Pourafshar

    A 75-year-old female with history of a prior right renal artery stent (coronary bare metal stent, duration 3 years), stage IV CKD (baseline serum creatinine (Scr) 2.1-2.3 mg/dL (eGFR 20-23 ml/min/1.73 m2)), diastolic heart failure, and hypertension. She had multiple hospital admissions for acute decompensated heart failure, now presenting with worsening dyspnea, increased oxygen requirements of 4 L oxygen via nasal canula, increased from baseline 2 L. Despite treatment with up to nine anti-hypertensive medications, her systolic BP remained 180-200 mmHg. Her Scr also increased to 3.92. Work-up showed normal kidney sizes and urine protein/creatinine ratio 1.26 g/g. Renal artery duplex revealed right renalartery peak systolic velocity 267 cm/sec, renal-to-aortic ratio 2.68, and resistive index 0.7-0.9, suggestive of right renal artery re-stenosis and some intrinsic damage. Due.. Read More»

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Citations: 1295

Journal of Clinical Case Reports received 1295 citations as per Google Scholar report

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