Category: Meds news

Drinking coffee can raise public health problems, but the association between coffee and kidney disease is unknown. We studied whether coffee intake can affect the development of chronic kidney disease in the general population.

Dizziness is a common symptom encountered by all physicians. Dizziness and related symptoms are frequently linked to 1 or more of a list of contributors that includes benign paroxysmal positional vertigo, Ménière disease, migraine, acute peripheral vestibulopathy, cerebral ischemia, and anxiety disorders. Awareness of these common clinical patterns increases the likelihood of making a rapid, accurate diagnosis.

Ketamine is considered a dissociative anesthetic medication, and it is commonly administered by a parenteral route. It works mainly by blocking the N-methyl-D-aspartate receptor. It inhibits the voltage-gated Na and K channels and serotonin and dopamine reuptake; also, it affects specific receptors, such as α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid, kainate, and aminobutyric acid A receptors. Ketamine appears to have particular mechanisms that are potentially involved during analgesic induction, including enhancing of descending inhibition and antiinflammatory effects.

A 36-year-old man with lower-extremity edema, chronic proteinuria, and a 20-year history of progressively worsening burning pain in his extremities presented to our outpatient department. His family history included pain of the extremities and chronic proteinuria in his 2 older brothers. Physical examination revealed corneal opacities. Electrocardiogram showed left ventricular hypertrophy. The complete blood examination, including blood chemistry, was unremarkable. However, regular urinalysis tests showed proteinuria and characteristic “mulberry bodies,” consisting of fat with a whorl-like appearance in the urinary sediment (Figure).

A 69-year-old man presented to the emergency department after the sudden onset of high fever and disorientation. His medical history included recurrent intraoral herpes. Neurologic examination revealed the presence of nuchal rigidity, with positive Brudzinski’s and Kernig’s signs. Lumbar puncture revealed a moderate increase in the level of protein in the cerebrospinal fluid, as well as a slight reduction in the level of glucose in the cerebrospinal fluid. Microscopic analysis of cerebrospinal fluid was unremarkable.

Available onlineThis article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.

This article has been withdrawn at the request of the Publisher. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.

This article has been withdrawn at the request of the author. The Publisher apologizes for any inconvenience this may cause.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.