A 50 -year -old patient with End Stage Renal Failure (ESRF) on peritoneal dialysis (PD), contacts the PD clinic complaining of abdominal pain and nausea. Patient History: He has developed ESRF due to IgA nephropathy 11 years ago. He was on PD for just 6 months before he received a cadaveric renal transplant. His allograft lasted for 10 years but finally failed 9 months ago. He has been maintained on PD since then without difficulty.
His current PD regimen involves four exchanges/24 hours, 2 liters ‘yellow’ bags (1.36% (low) glucose). He has also had problems with hypertension and hyperlipidemia, both of which are being medically managed. Physical Examination: On examination, his temperature is 38.5°C; pulse 85 bpm and regular; BP 145/60 mmHg, RR 19; O 2 saturations are 98% on air. The PD catheter exit site does not look erythematous or obviously infected. His abdomen is diffusely tender…
