{"id":836,"date":"2012-03-23T22:47:58","date_gmt":"2012-03-23T21:47:58","guid":{"rendered":"https:\/\/perruchenautomne.eu\/wordpress\/?p=836"},"modified":"2012-03-23T22:49:37","modified_gmt":"2012-03-23T21:49:37","slug":"petit-jeu-tres-facile-la-douleur-abdominale-chez-un-transplante-renal-a-une-heure-du-matin","status":"publish","type":"post","link":"https:\/\/perruchenautomne.eu\/wordpress\/2012\/03\/23\/petit-jeu-tres-facile-la-douleur-abdominale-chez-un-transplante-renal-a-une-heure-du-matin\/","title":{"rendered":"Petit jeu tr\u00e8s facile: la douleur abdominale chez un transplant\u00e9 r\u00e9nal \u00e0 une heure du matin"},"content":{"rendered":"

Coup de t\u00e9l\u00e9phone \u00e0 une heure du matin:<\/p>\n

-\u00ab\u00a0Allo, c’est les urgences, on a M. PKD, un transplant\u00e9 r\u00e9nal qui vient pour des douleurs abdominales et une confusion.\u00a0\u00bb
\n-\u00ab\u00a0Oui et il a quoi?\u00a0\u00bb
\n-\u00ab\u00a0Je sais pas il vient d’arriver, il a quoi comme ant\u00e9c\u00e9dents?\u00a0\u00bb
\n-\u00ab\u00a0Une polykystose r\u00e9nale autosomique dominante et il est gros. Comment est sa tension art\u00e9rielle? Vous lui avez fait un bilan?\u00a0\u00bb
\n-\u00ab\u00a0La TA est normale et j’ai pas le bilan.\u00a0\u00bb
\n-\u00ab\u00a0Et bien rappelez moi avec.\u00a0\u00bb<\/p><\/blockquote>\n

Deux heures du matin:<\/p>\n

-\u00ab\u00a0Allo, il a 800 \u00b5mol\/l de cr\u00e9atinin\u00e9mie, est ce qu’on peut lui faire un scanner inject\u00e9, il a tr\u00e8s mal au ventre?\u00a0\u00bb
\n-\u00ab\u00a0Il a aussi une pouss\u00e9e d’insuffisance r\u00e9nale aigue, remplissez le. Pas de probl\u00e8me pour le scanner, rappelez moi avec les r\u00e9sultats\u00a0\u00bb<\/p><\/blockquote>\n

Je me r\u00e9veille \u00e0 6 heures du matin sans nouvelles. Je suis \u00e9tonn\u00e9, 800 de cr\u00e9at et on ne me rappelle pas, \u00e9trange.<\/p>\n

Je regarde le scanner. Je vous soumets quelques images.<\/p>\n

\"\"<\/a>\"\"<\/a>\"\"<\/a>\"\"<\/a>\"\"<\/a>\"\"<\/a>\"\"<\/a>\"\"<\/a>\"\"<\/a>La derni\u00e8re image est juste l\u00e0 pour vous montrer qu’il est bien polykystique \ud83d\ude09<\/p>\n

Pourquoi a-t-il mal au ventre ?<\/p>\n

Et un morceau de circonstance par l’excellent Portico quartet<\/a>.
\n[audio:https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2012\/03\/02-Ruins.mp3]<\/p>\n","protected":false},"excerpt":{"rendered":"

Coup de t\u00e9l\u00e9phone \u00e0 une heure du matin: -\u00ab\u00a0Allo, c’est les urgences, on a M. PKD, un transplant\u00e9 r\u00e9nal qui vient pour des douleurs abdominales et une confusion.\u00a0\u00bb -\u00ab\u00a0Oui et il a quoi?\u00a0\u00bb -\u00ab\u00a0Je sais pas il vient d’arriver, il … Continuer la lecture →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-836","post","type-post","status-publish","format-standard","hentry","category-non-classe"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1l1zM-du","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/836","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/comments?post=836"}],"version-history":[{"count":4,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/836\/revisions"}],"predecessor-version":[{"id":850,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/836\/revisions\/850"}],"wp:attachment":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/media?parent=836"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/categories?post=836"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/tags?post=836"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}