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Advances in Critical Care Pediatric Nephrology pp 67–73Cite as

Focused Echocardiogram: A Case Based Approach

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Abstract

A 12-year-old boy with rapidly progressive Focal Segmental Glomerulosclerosis and end-stage renal disease (ESRD) admitted to our pediatric hemodialysis (HD) unit. He presented with dyspnea and cough. He was on HD for 2 months and was on the waitlist for kidney transplantation. He was anxious and pale, had periorbital edema, bibasilar crackles in the lungs, and pitting edema in the lower extremities. His vital signs were: RR = 45/min, PR = 110/min, BP = 150/100 mmhg. His serum chemistries were: Cr = 7 mg/dL, BUN = 95 mg/dL, Albumin = 2.8 g/dL, Hb = 8.8 g/dL, Na = 145 meq/L, K = 5 meq/L, HCO3 = 12, PCO2 = 25, and PH = 7.24. Considering his first admission in a new HD unit, the critical situation, and the time limit for further examination, the clinician assessed the cardiovascular conditions at the bed of HD by point of care ultrasound (Focused echocardiogram).

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Author information

Authors and Affiliations

  1. Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran

    Hamidreza Badeli & Afagh Hasanzadeh Rad

  2. Dialysis Center, Shahrivar Children Hospital, Rasht, Iran

    Hamidreza Badeli

Authors
  1. Hamidreza Badeli
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  2. Afagh Hasanzadeh Rad
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Corresponding author

Correspondence to Hamidreza Badeli .

Editor information

Editors and Affiliations

  1. Kidney and Urology Institute, Medanta, The Medicity, Gurugram, Haryana, India

    Dr. Sidharth Kumar Sethi

  2. Akron Children’s Hospital, Cleveland Clinic Akron General, Akron, OH, USA

    Dr. Rupesh Raina

  3. Pediatric Intensive Care Unit, Red Cross War Memorial Children’s Hospital, Cape Town, South Africa

    Prof. Mignon McCulloch

  4. VCU School of Medicine, Children’s Hospital of Richmond, Richmond, VA, USA

    Dr. Timothy E. Bunchman

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Badeli, H., Rad, A.H. (2021). Focused Echocardiogram: A Case Based Approach. In: Sethi, S.K., Raina, R., McCulloch, M., Bunchman, T.E. (eds) Advances in Critical Care Pediatric Nephrology. Springer, Singapore. https://doi.org/10.1007/978-981-33-4554-6_7

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  • DOI: https://doi.org/10.1007/978-981-33-4554-6_7

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