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?
Landmark Trials in ANCA-Associated Vasculitis: Past, Present and To Be Cont’d…
Anti-neutrophil cytoplasm antibody (ANCA) was first described in 1982 in a case of segmental necrotizing glomerulonephritis (Fig. 1). The first international ANCA workshop in 1989 delineated a standard immunofluorescence technique to test for ANCA in kidney biopsy specimen….
Origins of Renal Physiology Course: Fellows 2019
When: August 17–24, 2019Location: MDI Biological Laboratory (travel information)For: Nephrology Fellows Origins of Renal Physiology is entirely unique among national renal short courses. The course provides participants with research tools that give them a deeper understanding of concepts…
How I Find Time to Educate as a First Year Nephrology Fellow
I’m a first-year nephrology fellow who is very passionate about medical education. As a fellow at a large academic center, I have the opportunity to work closely with trainees from multiple levels and play an integral role in…
Kidney Biopsy of the Month- The Tubulointerstitium Part 2: The Medulla
Last month, we focussed on the renal cortex in the tubulointersitium, as part of the Kidney Biopsy of the Month: What is Normal series. We will now concentrate on the renal medulla, a region of the kidney sometimes…
Critical Care and Nephrology: A Match Made in Heaven or a Mere Crush?
Literature shows that over half of the patients admitted to the intensive care unit (ICU) will eventually develop some degree of acute kidney injury (AKI). The development AKI imparts significant repercussions to both the acute and long term…
2019 RFN Editors’ NephMadness Champion: Terlipressin
NephMadness has begun! Submit your 2019 NephMadness picks here.We’ll review some NephMadness basics below and leak our picks for this year. 1.What is NephMadness? NephMadness is an educational game played out across social media, modeled after the US…
Urine Sediment of the Month: Dysmorphic RBCs, the Hallmark of Glomerular Hematuria
The use of urine sediment analysis is important for the diagnosis of glomerular hematuria. Red blood cells (RBC) casts, beautifully illustrated by @jrseltzer in last month’s post, usually confirm glomerular hematuria – but this is a rather special…
Donor-Derived Cell Free DNA: Once Trivial Now A Potential Marker of Organ Rejection
“You’ll come to learn a great deal if you study the insignificant in depth” ― Odysseus Elytis In kidney transplant recipients, serum creatinine (SCr) remains the mainstay of allograft function assessment. Biopsy is the gold standard to diagnose…
IdeS (Imlifidase): Breaking Bad Immunoglobulins in Sensitized Transplant Recipients
Despite tremendous advancements in transplant and immunosuppressive therapy, transplantation in sensitized patients remains a major challenge. The presence of pre-transplant donor-specific antibodies (DSA) is strongly associated with poor outcomes, hyperacute, and antibody-mediated rejection. Sensitization can occur through blood…
Treating Anemia in CKD in the Era of HIFs: A Ray of Hope?
I commonly encounter two questions from patients with chronic kidney disease (CKD) in regards to anemia: “How can I avoid taking injections?” “Is this anemia treatment safe” The development of anemia represents a challenging problem in patients with…
