Fecal loading and phosphate binders
Urinary frequency and right sided flank pain with constipation
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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.
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