Severe Uncompensated Metabolic Alkalosis due to Plasma Exchange in a Patient with Pulmonary-Renal Syndrome: A Clinician’s Challenge

<div>Electron microscopy shows all of the glomeruli sampled revealing global involvement by cellular crescents. Focal areas of GBM rupture associated with fibrin extravasation are noted. No immune deposits are identified. Tubules show degenerative changes and the interstitium contains patchy moderate inflammation.</div>

Case Reports in Critical Care

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Figure 4

Figure 4: Severe Uncompensated Metabolic Alkalosis due to Plasma Exchange in a Patient with Pulmonary-Renal Syndrome: A Clinician’s Challenge 