Anti-Nephrin Antibodies in Minimal Change Disease
Approach to the Patient with Peritoneal Dialysis Catheter Dysfunction- Part 1
Want to write a case report? RFN has you covered with a list of journals to choose from
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Conferences, Courses, & Grants
FOAMed
Interventional Nephrology Series
Focus on Point-of-Care Ultrasound in Nephrology (POCUN) Series
Kidney Biopsy of the Month Series
The Many Faces of IgA Nephropathy
Heard a case this morning regarding an elderly white patient who presented with nephrotic syndrome and minimal hematuria. After going through the extensive differential diagnosis, focusing largely on the likely candidates (membranous nephropathy and minimal change disease), the…
Basic Immunosuppression Prophylaxis Protocols
A quick & dirty guide for what kidney transplant patients should be on for prophylaxis: 1. PCP Prophylaxis: should be given to all patients for as long as they are on steroids. The standard is Bactrim SS given…
Antibiotic Lock Solutions for Catheter-Related Bacteremia
It doesn’t take long for the renal fellow to realize that a huge chunk of ESRD hospital admissions are due to catheter-related bacteremia, and a number of different algorithms exist for the management of dialysis catheter-related infections. Typically,…
Plasma Exchange for Catastrophic Antiphospholipid Antibody Syndrome
Interesting case for the weekend: young woman with known lupus, baseline normal kidney function; admitted initially with headaches and “feeling more lupusy than usual”, found to have a creatinine of 2.5 on admission with some dysmorphic RBCs on…
Basic Renal Anatomy
Here’s a video describing basic renal anatomy. Reviewing the vasculature is always a good idea: renal artery–>segmental arteries–>interlobar arteries–>arcuate arteries–>interlobular arteries–>afferent arterioles–>glomerular capillaries–>efferent arteriole.
Bladder versus Enteric Drainage of Pancreatic Transplants
Saw a patient today in clinic who was s/p simultaneous pancreas-kidney transplant about 15 years ago. The kidney is hanging in there (Cr 2.5mg/dl) and the patient does not require insulin, so we have to consider the transplant…
Dual ACE/ARB therapy: ONTARGET
The ONTARGET trial was on the major trials looking at the potential benefits of dual ACE-inhibitor (ACE-I)/angiotensin receptor blocker (ARB) therapy. Although it was not intended to specifically examine the effects of dual blockade of the renin-angiotensin system…
Kidney Transplant Allocation Policy
I heard a great talk today detailing possible changes in store for the national policy for kidney transplant allocation, as set forward by the Organ Procurement and Transplanation Network (OPTN) (the organization which helps administer UNOS). The current…
Schistosomiasis and Renal Disease
Schistosoma species–also known as blood flukes and bilharzia–can cause some interesting forms of renal disease. Although this is not so common in the United States, it is a very common public health problem in Africa and Asia. Chronic…
Route of EPO Administration
In the U.S., erythropoietin is typically delivered as 3x/week intravenous injections in the ESRD population. This turns out to be a fairly significant cost, as Medicare-related payments for EPO comprise about 25% of the ESRD budget, which itself…