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Medical Category: Allergy and Immunology

Is Contrast Induced Nephropathy (CIN) Really Not a Thing?

Background: One of the most common imaging modalities used in the emergency department (ED) today is computed tomography (CT) scans using intravenous radiocontrast agents. Use of IV contrast can help increase visualization of pathology as compared to non-contrast CTs. However, …

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Allergy and ImmunologyRenal and Genitourinary

Icatibant Doesn’t Improve Outcomes in ACE-I Induced Angioedema

Angiotensin Converting Enzyme Inhibitors (ACE-I) are prescribed to millions of patients in the US. Though they are relatively safe, upper airway angioedema is one of the life-threatening adverse effects that we see frequently in the Emergency Department. Though this disorder …

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Allergy and Immunology

The AMACING Trial: Prehydration to Prevent Contrast Induced Nephropathy (CIN)?

Background: In patients with compromised renal function, the use of intravascular iodinated contrast material is generally not given to avoid contrast induced nephropathy (CIN). Currently, there is no treatment for contrast-induced nephropathy, therefore the focus has been on prevention. Guidelines …

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Allergy and ImmunologyRenal and Genitourinary

Contrast Induced Nephropathy (CIN): Fact or Myth?

Background: Use of contrast media in CT scans has been cited as one of the most common causes of iatrogenic acute kidney injury.  Its use however improves the diagnostic accuracy of CT scans.  Some studies have even reported an incidence …

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Allergy and ImmunologyRenal and Genitourinary

REBEL Cast Episode 10: Corticosteroids in Allergic Reactions/Anaphylaxis & Age of PRBCs in Critically Ill Adults

Welcome to the May 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of articles just published this year.  First, there is a lack of research examining the efficacy of steroids in patients with allergic reactions or …

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Allergy and ImmunologyHematology and OncologyResuscitation

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