Throughout medical school and into residency, I have always found the interaction between renin and aldosterone very interesting, especially when learning about pathologies with hypertension that can alter their interactions. Despite this, I could never remember the pathophysiology…
The use of checkpoint inhibitors (CPIs) has revolutionized the approach to therapy in patients with aggressive hematological and metastatic solid malignancies. These novel immunotherapies have increased overall survival for our patients with an improved overall side effect profile…
As a medical student, I encountered two cases of pulmonary renal syndrome within a few months of each other. In both cases, both anti-neutrophil cytoplasmic antibody (ANCA) and anti-glomerular basement membrane (GBM) antibodies were identified (the so called…
It was the last day of ASN Kidney Week and I decided to walk to the convention center to catch a bit of downtown San Diego on the way. I was listening to a podcast that featured one…
Welcome to a series of posts titled “Let’s Talk About Peritoneal Dialysis.” Today, we will be discussing the Peritoneal Equilibration Test (PET) that is performed in peritoneal diaysis (PD) patients. I distinctly recall my first time as a…
When we recently asked a room full of internal medicine residents rotating through the medical intensive care unit (MICU) what “CVVH” stood for, most of them could not answer. A few years ago, as an internal medicine resident,…
The vast majority of us have been confronted with these questions: When to start dialysis in a patient in the ICU ? What modality should I start with? What kind of vascular access should I place? How I…
If you care for patients with any degree of kidney failure on a regular basis, you understand firsthand how vulnerable these patients are. Each aspect of their care requires careful planning and organization by a large multidisciplinary team,…
While making rounds, I was paged to the dialysis unit to evaluate a patient on hemodialysis via a tunneled dialysis catheter, who began having chills and hypotension during a session. Unfortunately, this is not an uncommon situation and…
It is not often you see components of a basic metabolic panel (BMP) as a headline in the news. However, in one corner of the world, “creatinine” has become a term that commonly used by the public. It…