One of my mentors, Dr. Fred Silva, frequently reminds us that “the kidney has a limited number of ways to respond to an innumerable number of injuries”. For this reason, studying kidney pathology is challenging and fun. Since…
Anorexia nervosa is characterized by caloric restriction and pathologic behaviors to achieve weight loss, such as excessive exercising, dieting, or purging (e.g. abuse of laxatives or diuretics, surreptitious vomiting). Patients with bulimia nervosa engage in purging behaviors and…
Hyperkalemia is a common complication after organ transplantation, that resultins from several factors, including medications. Although the exact mechanism is unclear, calcineurin inhibitors (CNI), such as tacrolimus and cyclosporin, have been hypothesized to cause hyperkalemia through inhibitory effects…
Acquired Cystic Kidney Disease in the ESKD population Acquired cystic kidney disease (ACKD) was first described in 1847 by Simon while studying patients with glomerulonephritis (Bright’s Disease). However, it was not until 1977 when ACKD was “rediscovered” by…
This summer, I had the privilege of participating in KidneyTREKS (Tutored Research and Education for Kidney Scholars), a program for medical students, graduate students, and postdoctoral fellows created by the American Society of Nephrology to provide exposure and…
Hey doc, my effluent looks kinda like milk…would it taste good with cookies? Chyloperitoneum is a rare cause of cloudy or even outright white milky effluent. This classic appearance is due to the presence of chylomicrons in a…
The ethics surrounding organ transplantation is a highly debated topic. Although kidney transplantation has been around for many decades- shifting needs, cultural norms, and resource limitations have led to varying practices worldwide, bringing several ethical principles into the…
In the differential diagnosis of inadequate ultrafiltreation, one of the possible entities is a dialysate leak. The more insidious leak will present with weight gain and decreased drain volumes as the dialysate leaks into different planes/potential spaces and…
Kidneys are the most commonly transplanted organ, with over 440,000 transplanted in the U.S. since 1988 (UNOS data). In 2018 alone, there have already been 27,281 kidney transplants. Outcomes from kidney transplants, especially from living donors, are increasingly…
Here, we’ll summarize the resources that were found to be most helpful to those who have taken the American Board of Internal Medicine (ABIM) Nephrology exam. Respondents were asked which study tools they utilized and which they found…