Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
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Dialysis after contrast in patients with ESRD?
Ordering contrast on a dialysis patient? Go ahead.
Modern low-osmolality agents likely aren’t directly nephrotoxic, and studies show no loss of residual function in dialysis patients who still make urine. The ACR backs this up—no need for an extra dialysis session or delay in imaging. Get the scan, make the diagnosis.