In advanced renal failure, bleeding diathesis is recognized as a complication leading to serious haemorrhagic events, including gastrointestinal bleeding and haemorrhagic pericardial effusion. Several ...

My patient is a 74-year-old white woman who experienced recent atrial fibrillation with RVR that converted to normal sinus rhythm. She was found to have an elevated chloride level (85). Her blood urea ...

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they ...