An 80-year-old male was admitted with increasing dyspnea and progressive reduction in ultrafiltration volumes over one week. Medical history: He was on treatment with peritoneal dialysis (PD) three months before admission. He had switched from continuous ambulatory peritoneal dialysis (CAPD) with daytime exchanges to nocturnal cycler-assisted automated peritoneal dialysis (APD) in the last two weeks. End-stage kidney disease was secondary to hypertension. Left nephrectomy for cancer. Comorbidities: Hypertension, stroke, glaucoma, prostatic hypertrophy, and osteoarthritis.
Physical examination: He was tachypneic and hypoxic. The jugular venous pressure was elevated. Auscultation revealed reduced breath sounds over the right lower hemithorax, with dullness on percussion. Electrocardiogram (ECG) and initial blood tests were unremarkable. Radiological Investigations: The chest X-ray showed…
