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Obese patients with end-stage renal disease who receive a kidney transplant experience greater rates of posttransplantation diabetes, delayed graft function, and local wound complications. Many centers exclude obese patients from transplantation programs. Diet, exercise, and medication in general are not reliable weight loss options for patients with… (More)
INTRODUCTION Obese living donors who undergo donor nephrectomy have higher rates of intra-operative and post-operative complications. Many centres exclude obese donors from living donor transplant programs. Diet, exercise and medication are often ineffective weight loss interventions for donors, hence bariatric surgery should be considered. CASE… (More)
With increased numbers of the elderly, including nursing home patients, being accepted for end-stage kidney disease (ESKD) management, there is heightened interest and focus on end of life decisions, advanced care planning and directives, withdrawal from dialysis and palliative care in this setting. Despite this, care at the individual patient level can… (More)
Cardiac lipoma is the commonest nonmyxomatous benign primary cardiac tumor. We report a case of lipoma arising from the anterolateral papillary muscle and presenting with a transient ischemic episode and a history of malignant melanoma. The lipoma was removed leaving the mitral apparatus intact.
BACKGROUND Less than 1 per cent of tumours occurring in the region encompassing the internal auditory canal and the cerebellopontine angle are malignant. Primary central nervous system melanomas arising from this region are exceptionally rare and are often initially misdiagnosed as acoustic neuromas. METHODS We present a 71-year-old man with acute… (More)