Pearls for Boards

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1) Monoclonal Immunoglobulin Deposition Disease breakdown – 80 to 90% LCDD, 10 to 20% LHCDD, <5% HCDD.

2) Small studies suggest tamoxifen and steroids may be of benefit in management of Encapsulating Peritoneal Sclerosis in patients on PD.

3) Sodium restriction helps lower the risk of calcium nephrolithiasis by increasing proximal tubular uptake of sodium and subsequently calcium.

4) The age at presentation of anti-GBM disease has a bimodal distribution with a male predominance in younger patients and a female predominance in older patients.  More severe disease with lung involvement is more common in young patients while isolated GN is more common in older patients.

5) Hypothermia leads to potassium shift into cells and serum hypokalemia.

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