Lyme Nephritis??

I included two question marks in the title, since the existence of Lyme Nephritis remains controversial.  However, somebody presented a case of alleged Lyme Nephritis in a recent Renal Grand Rounds which was interesting. In brief, the case…

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Calcium Phosphate Stones

Calcium phosphate stones are actually pretty rare. While calcium oxalate stones comprise about 80% of all instances of nephrolithiasis, calcium phosphate stones typically occur only in a small subset of patients–about 5 to 10% of patients according to…

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ESA Glycosylation

There are numerous formulations of recombinant human erythropoietin, but only a few of which are used in the U.S.  Generally speaking, all of the formulations have the exact same 165 amino acid core sequence which encodes the human…

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Renal Transplant Fellowship

While the ACGME regulates the vast majority of post-graduate residencies/fellowships, there are a few exceptions. One of the notable ones is the rapidly evolving Kidney Transplant fellowship. Previously, nephrologists were certified as members of the kidney transplant community…

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Core Competencies

In 1999, the Accreditation Council for Graduate Medical Education (ACGME)–the organization which oversees all residency and fellowship programs in the U.S. and is responsible for their official status as a licensed training program–issued a list of 6 Core…

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Dialyzer Reactions

Dialyzer reactions can be classified into two types: “Type A” and “Type B”.Simplistically stated, one is serious and the other one isn’t. A good pneumonic I recently learned from Dr. Daniel Coyne of Washington University-St. Louis at a…

Bundling

It’s a hot topic amongst dialysis centers around the country: bundling. Here’s my attempt to explain it in a brief manner. If anybody has corrections or comments about this explanation, feel free to make them known. With the…

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