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Nephrol Dial Transplant (2001) 16: 1069-1072
© 2001 European Renal Association-European Dialysis and Transplant Association

Nephroquiz for the Beginner

Nasty shock after an anti-emetic

(Section Editor: M. G. Zeier)

P. H. Maxwell, C. Buckley, J. M. Gleadle and P. D. Mason

The Renal Unit, The Churchill, Oxford Radcliffe Hospital, UK

Case

A 66-year-old previously healthy woman had been vomiting for 7 h and contacted her family physician, who gave her an intramuscular injection of metoclopramide. Forty-five minutes later she felt cold, short of breath, anxious and wheezy with blue lips and heavy legs. She was admitted to hospital as an emergency. In the admission room she was breathless at rest, the blood pressure was 175/120 mmHg, and the pulse was 100 bpm (sinus rhythm). There were crackles throughout both lung fields. She was treated with frusemide, diamorphine, metoclopramide and oxygen but deteriorated over the following hour with increased respiratory . . . [Full Text of this Article]

Question

Answer to quiz on preceding page

Diagnosis
Diagnostic work-up
Prevalence of adrenal adenoma
Clinical symptoms
Genetic predisposition
Unusual features of this case
Outcome
Notes

References


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