• Robert S. Holzman
  • Thomas J. Mancuso
  • Navil F. Sethna
  • James A. DiNardo


A 3-month-old male, 4.2 kg with chronic obstructive nephropathy as a result of bilateral megaureter presents for megaureter repair and bilateral ureteral reimplant. His hematocrit is 29%, with electrolytes Na+ = 132 meq/dL, K+ = 4.0 meq/dL, Cl = 103 meq/dL, HCO3 = 19 meq/dL, BUN = 8 mg%, and Cr = 1.7 mg%. He is on sulfamethoxazole/trimethoprim once a day. Heart rate is 110 bpm, BP 110/70 mmHg, and RR 20/min.


Serum Potassium Glomerular Basement Membrane Renal Tubular Acidosis Obstructive Uropathy Prune Belly Syndrome 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Robert S. Holzman
    • 1
  • Thomas J. Mancuso
    • 1
  • Navil F. Sethna
    • 1
  • James A. DiNardo
    • 1
  1. 1.Children’s Hospital BostonHarvard Medical SchoolBostonUSA

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