Rajiv, 39, wants to donate a kidney to his sister-in-law, Shen. His brother, Shen’s husband, is healthy, but unfortunately not a good match for Shen. Rajiv has no past medical history, is a non-smoker and his BMI is…
1) The presence of markers of kidney damage for greater than 3 months in blood, urine, or on imaging a) e.g proteinuria, non-urological hematuria, polycystic kidney disease, horseshoe kidney, etc. or 2) The presence of a GFR of…
Educating patients with Autosomal Dominant Polycystic Kidney Disease (ADPKD) is unique, as patients typically witness the course of the disease in their affected family members. This is often a parent, but due to the complexities of life including…
I spend a lot of time discussing patients with renal disease and monoclonal gammopathies with my haematology colleagues, trying to figure out what is of ‘renal significance’ and ‘undetermined significance’. One of those discussions recently was around a…
“The best way to predict your future is to create it“. Abraham Lincoln Predicting the future is a tenuous concept and at face value is perhaps better suited to popular media and science fiction than medicine. We have…
This image was from Original Nate Hellman post in 2010 It’s Monday, I turn my pager on at 6:00am, and at 6:03am and again at 6:05am my pager promptly goes off. I recognize both of the numbers, it’s…
A patient presented with nephrotic range proteinuria and lung cancer, so we performed a routine kidney biopsy. During our pathology conference, we discussed a classic run-of-the mill case of membranous nephropathy secondary to malignancy. Our pathologist showed us…
As most stories do, this one begins with a case. I was on call over the weekend, it was busy, and I was called by the neuro ICU for a new consult. Their patient had been hyponatremic for…
“All that glitters is not gold” is a typical saying that alludes to the difference between appearance and evidence; it is undoubtedly one of the most common sayings by Mexicans and one of the ideas present when citing…
During my training I downloaded and collected tons of journal articles for future reference. Most of these articles were in a pdf form and I had assigned these to variously named folders for easy retrieval. Most of us…