53 year old female presents with a week of vomiting and visu | Figure 1

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53 year old female presents with a week of vomiting and visual hallucinations. CT brain demonstrated lesion so MRI ordered (without contrast secondary to cr 3.5 - no previous history of renal disease). Here is T2 image. Thoughts?

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Patient has a favorable evolution of symptoms. Creatinine is within normal limits and no hematuria is seen. The escar is expected to keep evolving. Loxosceles laeta bite.


#Hypernatremia


Uric acid in urine.


The patient's abdomen was distended. Imaging studies suggested polycystic liver and polycystic kidney with high blood creatinine and urea nitrogen, which did not qualify for surgery. Ultrasound-guided puncture was proposed to relieve the symptoms.


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patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?