Marc Lawrence Soco, MD Internal Medicine Resident Chong Hua Hospital, Cebu City, Philippines @msocoMD Hepatorenal syndrome (HRS) was classically recognized as an all-encompassing term referring to the concurrent failure of the kidneys and the liver. Over the years,…
Jade M. Teakell, MD, PhD, FASN Assistant Professor of Medicine and Associate Program Director of Nephrology FellowshipMcGovern Medical School, Houston TX@jmteakell A 62-year-old man with a history of diabetes, hypertension, and kidney failure on peritoneal dialysis (PD) presents with…
Sai Santhoshini Achi, MDInternal Medicine Resident at Harlem HospitalIncoming Nephrology Fellow at University of Texas Health Science Center at Houston@SaiAchi1 On the first day of my inpatient medicine rotation, I had three patients with dialysis catheters. I kept…
Carlo Trinidad, MDNephrologistDagupan Doctors Villaflor Memorial Hospital, Philippines@hellokidneyMD Diuretic resistance is defined as the failure to achieve the desired diuresis (with concomitant reduction in edema and/or congestion) despite maximal doses of diuretic (Hoorn et al. American Journal of…
Katherine Rizzolo MDNephrology Fellow, University of ColoradoTwitter @katierizzolo The 2019 Advancing American Kidney Health (AAKH) executive order set a goal: by 2025, 80% of incident patients with kidney failure should be treated with home dialysis therapies (peritoneal or…
Avinash Rao Ullur, MD, DNBClinical Fellow in Adult NephrologyUniversity of TorontoNSMC Intern 2021 Rushing through the dialysis unit can leave little time to consider issues other than electrolytes, volume status, anemia, and bone mineral metabolism. However, it’s the…
Drug dosage adjustment can be a challenge in patients who develop acute kidney injury (AKI). It is suggested to adopt “a start low and go slow” approach when there is an uncertainty in drug dosing or pharmacokinetics. The…
Systemic glucocorticoids: an overview of side effects– Since the synthesis of cortisone in the 1950s, glucocorticoids have become a staple in the treatment of many inflammatory and autoimmune diseases and a key component of immunosuppressive combinations for transplant…
Lithium has been a very efficacious drug in the management of bipolar and other mood disorders. There are several aspects of lithium use that Nephrologists need to be mindful of including its pharmacokinetics, its dosing and target concentrations,…
Metabolic acidosis is a common condition encountered routinely by Nephrologists. Etiology of this condition is quite varied often requiring detailed history and a battery of tests to tease out the diagnosis. In most of the scenarios, co-existing biochemical…