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Uremic gastropathy? Dilated stomach and thickened pylorus

Uremic gastropathy? Dilated stomach and thickened pylorus

11 yo MN Golden with acute kidney failure, hx of CKD for 2 years.  Anorexia, ptyalism, regurgitating liquid. Severe non regenerative anemia (HCT 15, Hgb 5.8<13) today, HCT was 31 last week.  Azotemia improved with IV fluids last week, but came back once patient was home.  Lepto PCR negative. 1) dilated stomach with diffusely thickened…