How did this happen so fast?
I was inspired to write this haiku after encountering a middle-aged male with a past medical history of end stage renal disease. The patient was admitted to our service from the emergency department for symptomatic hyperkalemia and was promptly treated with emergent hemodialysis. The patient’s potassium levels subsequently returned to baseline, and discharge was planned for the following day. When the patient’s electrolyte panel returned the next morning, he was hyperkalemic. This was both concerning and unexpected. During rounds, our team later discovered that the patient clandestinely consumed a burrito after dinner during the overnight hours, thereby explaining the hyperkalemia. After appropriate patient education and further hemodialysis, the patient’s labs returned to baseline and he was discharged the following day.
How the patient procured said burrito remains a mystery to this day.
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