by Eric Christianson | Sep 28, 2025 | Renal, Urology, and Electrolytes Case Studies
In this case study, we will outline an adverse effect of midodrine that can lead to the prescribing cascade. SK is a 79-year-old male nursing home resident with a history of Parkinson’s disease, hypertension, and benign prostatic hyperplasia (BPH). Over the past few...
by Eric Christianson | Sep 3, 2025 | Renal, Urology, and Electrolytes Case Studies
In this case study, I outline the use of desmopressin for urinary incontinence. It isn’t an order I see very often, but it is critical to remember the concerns of hyponatremia with this medication. Here’s the case; ES is an 82-year-old female living in an...
by Eric Christianson | Aug 31, 2025 | Neurology, Pain, and Musculoskeletal Case Studies
RS is a 62-year-old male with a history of type 2 diabetes, hypertension, atrial fibrillation, and metastatic colorectal cancer. He presents to the clinic with complaints of numbness, tingling, and burning pain in both feet that have been gradually worsening over the...
by Eric Christianson | Aug 27, 2025 | Renal, Urology, and Electrolytes Case Studies
In this hyperkalemia case study, I outline the importance of paying attention when medications are discontinued. EN is a 78-year-old female with chronic kidney disease stage 4, hypertension, heart failure with preserved ejection fraction, and type 2 diabetes. She had...
by Eric Christianson | Aug 24, 2025 | Infectious Disease and Oncology Case Studies
KE is a 72-year-old female residing in a long-term care facility. She was recently started on ciprofloxacin 500 mg PO BID for a complicated urinary tract infection caused by E. coli. Over the past week, nursing staff noticed she continued to spike fevers, complain of...
by Eric Christianson | Jul 23, 2025 | Gastrointestinal Case Studies
I think I’ve seen this scenario play out more times than I would like. A patient is prescribed both a laxative, Senna, and Questran (cholestyramine), a medication used to manage diarrhea symptoms. This example of the prescribing cascade often presents slowly...