Origins of Renal Physiology Course

We’ve posted several times about the ‘Origins of Renal Physiology’ held in the Mount Desert Island Biological Laboratory every year. Fellows who have taken the course over the past 5 years have consistently raved about it, with many describing it as transformative in…

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Under Pressure

As a medical student I was taught the CKD hypertension gospel straight from the good book of JNC VII: Thou shalt lower the blood pressure to less than 130/80! This was many years after David Bowe and Freddie…

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Water deprived

Recently in the clinic we were asked to review a patient with suspected diabetes inspidus. She had been taking lithium for more than 20 years for bipolar disorder that was very well controlled. During a routine medical examination,…

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Lead Nephrotoxicity

I saw a patient in the clinic who was referred for evaluation by his PCP with CKD, a bland urine sediment and a history of hyperuricemia and gout. He had no history of diabetes or hypertension and had…

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A picture is worth…

Often on rounds with medical students or housestaff we will review why a serum creatinine of 0.8 mg/dl in a 40 year old athlete… may mean a much higher creatinine clearance than a creatinine of 0.8 mg/dl in…

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