Epiphora due to a supernumerary lacrimal punctum treated with lacrimal plugs. Case presentation and literature review.

Antecedentes: Los puntos lagrimales supernumerarios son una malformación congénita poco común y con una variabilidad anatómica importante. En muchas ocasiones pueden ser sintomáticos y cursar con epífora.

Caso ClÍnico: Se describe el caso de un paciente de 45 años con epífora secundaria a un punto lagrimal supernumerario sin otra patología lagrimal asociada tratado exitosamente con el uso de tapones de vías lagrimales.

Effect of aminoglycoside use on residual renal function in peritoneal dialysis patients.

Residual renal function (RRF) is a major contributor to total solute clearance in peritoneal dialysis (PD) patients, and maintenance of RRF has been linked to decreased morbidity and mortality in PD. There have been few clinical studies examining the impact of factors that potentially affect RRF in PD. This is a prospective observational study that examines the effects of parenteral aminoglycosides, a common nephrotoxin in the general population, on RRF in a cohort of PD patients.

Long-term survival of vascular accesses in a large chronic hemodialysis population.

Complications associated with vascular accesses account for approximately 30% of hospital admissions for chronic hemodialysis patients. Long-term patency of access was evaluated in 76 patients, without diabetes mellitus, who had been on dialysis for at least 3 years and 41 patients, with diabetes mellitus, who had been on dialysis for over 2 years. Fistulas functioned longer than grafts (58 vs.

Renal osteodystrophy and dialysis artifacts as indicators of identification.

Evidence of rare disease may be useful in the identification of unknown remains. Osteodystrophy is a condition commonly associated with chronic renal failure. The presence of renal osteodystrophy and medical artifacts associated with the treatment of kidney failure in human remains may provide information about the individual's medical history.