Hurricane Maria: A Nephrology Fellow’s Perspective
Holy Moly! What’s Up with the Foley?
How to Examine a Vascular Access: Part 2 The Physical Exam
The Attack of the Clones: The Armamentarium of Tests to Find Monoclonal Proteins
Urine Sediment of the Month: RBC Casts, Ghost Cells, & Heinz Bodies…Oh My!
Kidney Biopsy of the Month- The Tubulointerstitium Part 1: The Cortex
Landmark Trials in ADPKD: Close, But No Cigar
Registration for KIDNEYcon 2019 is Open
Dual ANCA and Anti-GBM Positive Disease: Double Trouble?
The Case of Intradialytic Hypotension
“Doctor, I’m calling because Mrs. X has 2 hours of treatment left. This is the third time her blood pressure has been low…What do you want me to do?” Intradialytic hypotension (IDH) is a universal, often unavoidable scenario…
Landmark Trials in Renal Artery Stenosis
Renal artery stenosis (RAS) can lead to a reduction in kidney blood flow with resultant ischemia of the affected kidney. The consequences of this reduction are a decline in estimated glomerular filtration rate (eGFR) and activation of the…
HIV Antiretroviral Therapy: Also Anti-Kidney?
When consulted by your infectious disease colleagues as to the cause of new or worsening renal impairment in a patient with human immunodeficiency virus (HIV), the differential is broad but changing. The classic HIV-associated collapsing glomerulopathy has become…
Point-of-Care Ultrasound in Cardiorenal Syndrome Type 1
Cardiorenal syndrome (CRS) is a complex clinical entity that encompasses multiple interactions between the heart and kidney. Ronco and colleagues classified CRS into five types. Below, we’ll focus on CRS type 1, or acute cardiac dysfunction (such as…
Renal Scintigraphy: What Is It Good For?
If you are like me, you vaguely know about renal scintigraphy but not so much about the details of the radioactive agents or the utility of the scan itself. Basically, renal scintigraphy is a 2D nuclear medicine scan…
Social Exclusion, Intravenous Drug Use and the Kidneys
Social exclusion is a broad term describing a continuum of inclusion/exclusion characterized by unequal access to resources, capabilities and rights. Social exclusion has been associated with reduced access to health care and worse outcomes. Currently, I work in…
The Paradox of Hypertonic Saline Use in Heart Failure
The general notion is that edematous states like acute decompensated heart failure (ADHF) respond to the combination of sodium restriction and diuretic therapy. In fact, non-adherence to sodium restriction is believed to be a primary cause of failure…
A Clinical Discussion of AV Fistula and Graft Complications: Part 2
Last week we covered 5 clinical scenarios involving arteriovenous fistula and graft complications. We now discuss another 5 common scenarios as part 2 of the series. Please note: these cases are vignettes created for educational purposes and patient…
A Kidney Perspective on Leukemia & Lymphoma
Based on previous studies, the kidney is the most common site of extra hematopoietic involvement in hematologic malignancies, up to 90% in certain series. As with any other kidney disease, the approach to acute kidney injury (AKI) should…
Basics of Lung Ultrasound for the Nephrologist: What are A-lines and B-lines?
Why should nephrologists perform lung ultrasonography? Determination of volume status is a frequent challenge faced by nephrologists in routine clinical practice and errors in this assessment may result in inappropriate therapy and potentially adverse patient outcomes. Lung ultrasound…
