Nikhil Shah 
www.mdcalc.com
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Curious if folks ever use this in setting of rapidly rising creatinine to make med dosing decisions - why or why not?
#AskRenal @askrenal.bsky.social
www.mdcalc.com/calc/10191/k...
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Question for #nephsky #askrenal. Friend found these casts in a patient with multiple myeloma- Cr 0.8 and UPCR 0.1 g/g. They don’t look like typical hyaline casts. Any thoughts? @juancarlosqvelez.bsky.social @jrseltzer.bsky.social
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@askrenal.bsky.social
Is there evidence for using dual RAS blockers (ACEI + ARB) in post-partum AKI due to Thrombotic Microangiopathy #TMA #AKI #RASi
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Do u have a local policy for picc- and mid-lines for pts with renal impairment?
🧭 Any simple algorithm that can be shared with other specialties?
⛔️ “Has to be discussed with nephrology” is a battle- we r the bad people who r inconsiderate of realities of the pt’s (immediate) care!
#askrenal
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@grahamabra.bsky.social
about 2 months agoAny good refs for recovery from AKI-D post liver transplant?
#AskRenal
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⚠️ Calciphylaxis is a debilitating and painful condition that is hard to treat.
▶️ Do you use daily dialysis as part of treatment? If so, what criteria do you use?
#askrenal
pubmed.ncbi.nlm.nih.gov/2…
doi.org/10.1093/ndt/...
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Possibly a rookie #neph question, but anyway, I am wondering:
Does an albumin value consistently below 38, i.e. 34-37 or lower, correlate to an increased risk of mortality?, 🤓🤔
Is there a recommended textbook chapter &/or paper about albumin?
cc: @askrenal.bsky.social et al
Thank you, 🙏
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@lspiegel.bsky.social
2 months agoUsing 3% saline for severe asymptomatic hyponatremia.
Yay or nay?
#askrenal
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What’s your treatment for idiopathic pericarditis in PD?
NSAIDs will cause loss of RRF and risk of UGIB. Colchicine at even low doses=diarrhea (and myopathy/cytopenias). Prednisone or try colchicine 0.3-0.6mg po daily to see if tolerated? Defer to cardiology? @askrenal.bsky.social #askrenal
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30M with aggressive crescentic IgAN. M1E0S1T1C2. 4g proteinuria with Cr 160 umol/L but rising. Induction with IV CYC and pred. Now 1g protein but Cr, now 250 umol/L. Not sure what next :( maybe repeat biopsy? @nephrowhitt.bsky.social @hswapnil.medsky.social @askrenal.bsky.social
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#askrenal is there here a nephrologist from Burundi ? We have a kidney donor from Burundi who is interested in donating to a family member in Canada and we are looking if in Burundi there is possibility of doing a HLA typage ?
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@askrenal.bsky.social @asnkidney.bsky.social
Why do we not have a course, say on Coursera, that’s available for new fellows that covers the essentials of starting on the specialty?
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Congratulations CCCTG
Ringers and normal bicarb (3 amps per L 5% dextrose) have their place, especially in nephro practice, but for routine fluids, normal saline is cheaper and just as good
#askrenal #nephsky #medsky
Remember Ringer's is hypotonic - not for head injury
www.nejm.org/doi/10....
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At What #eGFR Should We Start #Dialysis? An Interactive Quality Improvement Teaching Case for Healthcare Providers #AskRenal #NephSky
@csnscn.bsky.social @cjkhd.bsky.social @ottawahospital.on.ca
doi.org/10.1177/2054...
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Anybody know of any good nephrology > #meded > internal medicine conferences in the East Coast of Canada next year around March to May? Hoping to do a Montreal trip but thought I might tie it to a conference.... @hswapnil.medsky.social @askrenal.bsky.social
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#askrenal billing question- does any group actively collect a consent to bill from there patients for monthly capitation billing? My hospital wants to require this but I have never heard of any group routinely doing this and they want one signed annually.
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Have you ever converted a patient after kidney transplantation from tacrolimus to belatacept to improve progressing neuropathy? Have you noticed any beneficial effect? Thank you! #askrenal
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@grahamabra.bsky.social
3 months agoGreat case series
So how do we treat a patient with IgA Nephropathy and MASH? Should we use use agents that modulate the immune system, CKD protective meds alone, GLP1-RAs?
#AskRenal
Arkana Labs@arkanalabs.bsky.social
We're excited to share a new research publication titled “Kidney Biopsy Findings in People With Metabolic Dysfunction–Associated Steatohepatitis.” #renal #renalresearch Dr. Pasternak was awarded the @RenalPathSoc's Pathologist-in-Training Abstract Award for this important work! 📄 Read the study:
pubmed.ncbi.nlm.nih.gov
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Early identification of #KD can protect #kidney health. We ask “Are your kidneys ok?” using serum creatinine to estimate kidney function and urine albumin to assess for kidney and endothelial damage #AskRenal
@csnscn.bsky.social @cjkhd.bsky.social
doi.org/10.1177/2054...
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@askrenal.bsky.social #AskRenal :
Does vancomycin infusion have more side effects?
Thank you for your answers!!
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#askrenal
Why is serum bicarbonate reported as "CO2" in biochemistry results?
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@askrenal.bsky.social
How do you manage a 70 yr old female with stable renal function with serum creatinine at 1.12 with positive heterozygous CFH complement factor H deficiency on genetic testing with urine sediment showing oval fat bodies with no proteinuria or hematuria. UPCR/ UACR negative.
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