Figure 711

Pericardial tamponade. Narrow pulse pressure and a pericardial friction rub suggest pericarditis (a frequent complication of uremia) especially in patients with chest pain. Pericardial tamponade may present as dialysis-induced hypotension. (Courtesy of T. Pappas, MD, Medical College of Ohio.)

FIGURE 7-12 (see Color Plate)

FIGURE 7-12 (see Color Plate)

Perforating folliculitis. The skin of uremic patients can be intensely pruritic. Earlier, it was attributed to deposition of calcium and phosphorus in the skin. Today, we know that is the result of repeated trauma to the skin associated with scratching.

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