Presentation
Urinary frequency and right sided flank pain with constipation
Patient Data
Age: 80 years
Gender: Female
From the case:
Fecal loading and phosphate binders
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/107193/annotated_viewer_json?lang=us"}
There is a pacemaker present. There is a small right sided pleural effusion with associated consolidation. Mild cardiomegaly is noted. There is moderate fecal loading with high density material likely representing phosphate binding agents.
Case Discussion
Key Learning Points:
- late stage chronic kidney disease (CKD) patients will often have an extensive medication history with various binding agents
- in the context of constipation, these binding agents (especially phosphate) can appear on plain films as high density material peppered throughout the fecal matter
Case courtesy of Dr. Angus Chew & Dr. Angela Wu
Unable to process the form. Check for errors and try again.