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Episode 250: Schema Episode – Dyspnea, HTN, and Renal Failure

The Clinical Problem Solvers

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I'll Mess You Up, Respect the Streptococcus

The patient was started on dialysis and also a prednisone taper with PJP prophylaxis for post- strep glomerular nephritis. Reduction in EF in the elevated troponin was attributed to the hypertension with hypertensive emergency, but the patient was planned to follow up for a repeat ischemic evaluation at a later date once more stable. Thankfully, in time, he was able to be transitioned off dialysis. Do you have any reflections? I want to hear Dan talk about strep every day.

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