Board question: PD-1 answer
The best answer is E. Encapsulating sclerosing peritonitis (ESP) This patient presented with true UF failure (
Posts by
Matthew Sparks
Board question of the week: PD-1
A 55-year-old woman with ESRD secondary to lupus nephritis presents to the PD clinic with volume overload. She reports decreased UF volume, despite the use of 4.25% dextrose exchanges over the last few weeks. She has been on…
Why do medicine residents specialize in nephrology?
RFN was curious to see why medicine residents decide to pursue nephrology training? Obviously, this in a decision that has multiple factors. Results from the RFN poll (73 total)- 58% of all respondents to our poll thought that…
Follow the patient, not the number
As a nephrology fellow, I find it somewhat challenging to follow a patient with advanced CKD (eGFR, MDRD 8-10). However, I do find this process rewarding as it truly allows for the establishment of a substantial relationship with…
Cisplatin induced hyponatremia; looking deeper
Cisplatin based therapy for the treatment of solid organ tumors is commonly associated with several renal abnormalities including; *hypokalemia*hypomagnesemia*hypocalcemia*hypophosphatemia*fanconi-like syndrome*acute kidney injury We have all seen these complications on the renal consult service at least once. However, less…
Typical HUS: beyond shiga
Hemolytic Uremic Syndrome is characterized by the triad of Microangiopathic hemolytic anemia Thrombocytopenia Renal failure. The disease is broken down into Typical, or diarrhea associated Atypical, or diarrhea negative cases. 90% of HUS cases in the United States…
Vas-cath exposure variability
How many vas-caths did you (the renal fellow) place during your clinical year (1 year)? Poll results: 0-5 (IR does most of these) 4 (4%) 0-5 (Surgery does most of these) 2 (2%) 0-5 (IM residents do most…
Therapeutic misadventures in rhabdo
There are three commonly promoted strategies used in the treatment and prevention of AKI in rhabdomyolysis: 1) Normal saline 2) Bicarbonate containing solutions 3) Mannitol. Volume resuscitation is clearly paramount when treating rhabdo, but whether bicarbonate or mannitol…
Board question: Transplant-1 answer
The vast majority of people answered correctly; the best answer is D. Approximately 3-5% of patients with Alport’s syndrome develop de novo anti-glomerular basement membrane (GBM) disease in the transplanted kidney. Alport’s syndrome is a genetic disorder that…
Ultrasound guided vas-cath placement
Much of the clinical year of the renal fellow is spent in the hospital rounding on patients admitted with access malfunction, catheter related infections or are in the ICU’s with acute kidney injury. Many of these patients will…