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Title: Lower back pain in a patient on long-term haemodialysis
Authors: Callus, Roberta
Pullicino, Richard
Buhagiar, Louis
Mizzi, Adrian
Keywords: Hyperparathyroidism, Primary -- Diagnosis
Hemodialysis -- Patients
Long-term care facilities
Backache -- Treatment
Pelvic pain
Issue Date: 2014
Publisher: BMJ Publishing Group
Citation: Callus, R., Pullicino, R., Buhagiar, L., & Mizzi, A. (2014). Lower back pain in a patient on long-term haemodialysis. BMJ Case Reports, 1-2.
Abstract: A 60-year-old woman with end-stage renal disease secondary to adult polycystic kidney disease, presented with a 6-month history of worsening sacral and rectal pain. She reported anorexia and significant weight loss. She was on haemodialysis for 5 years prior to receiving a renal transplant, which failed after 8 years. She was then recommenced haemodialysis for another 4 years to date. She underwent bilateral nephrectomy of her native kidneys prior to transplantation. Clinical examination showed cachexia, hepatomegaly and a right iliac fossa graft. Rectal examination was normal. Passive movements of both lower limbs were painful; however, there was no neurological deficit.
Appears in Collections:Scholarly Works - FacM&SMed

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