An Overlooked Cause of Polyuria

Osmotic polyuria: an overlooked mechanism in diabetic nephropathy.

Tubulo-interstitial pathology in diabetic nephropathy is thought to be caused by cell injury that is induced by high ambient glucose levels and increased proportions of glycated proteins. Other mechanistic hypotheses engage glomerular ultrafiltration of proteins and bioactive growth factors and their effects on tubular cells. Some scholars promote tubular ischaemia due to reduced peritubular bl...

An overlooked cause of respiratory infection

An Overlooked Cause of Physician Burnout.

Physician work-related stress has become a hot topic in medicine, and for good reason. A growing number of physicians are expressing frustration with their chosen profession and reporting increased levels of burnout. For example, a 2015 survey of primary care physicians found that, if given the option to restart their medical training, 68 percent of family physicians would choose a different sp...

Nutcracker syndrome: an overlooked cause of hematuria.

Nutcracker syndrome is caused by compression of the left renal vein between the aorta and the superior mesenteric artery, where it courses in the fork formed at the bifurcation of these arteries. The phenomenon results in left renal venous hypertension, which leads to left renal vein and left gonadal vein varices and unilateral hematuria. The main presenting symptom is hematuria, with or withou...

An easily overlooked cause of abdominal pain

A 63 year old female presented to the emergency department with a several month history of intermittent right upper quadrant abdominal pain, early satiety with loss of appetite, and an unintentional weight loss of 8. She underwent a battery of tests that returned negative and subsequently sent for Computed tomographic angiography (CTA) of the abdomen revealing luminal stenosis of the proximal 1...