Dr John Gennari had another typically excellent review of metabolic alkalosis in AJKD in October. He suggests an alternative means of classifying a metabolic alkalosis according to the etiology of the alkalosis along with the physiological basis for…
Recently, we were asked to see a patient on the consult service with a rising creatinine, a BUN of close to 200 and decreased urine output. The patient was a diabetic who had an STEMI several months previously…
One of the true arts learned during renal fellowship is the timing of initiation of dialysis in outpatients with advanced chronic kidney disease. This a crucial skill to develop as the beginning of dialysis has major implications for…
2011 proved to be another exciting year in the world of nephrology. 2010 was dominated with big clinical trials (SHARP, FHN, IDEAL), APOL1 gene variants, Propublica article on HD in the US, and medicare bundling. 2011 proved…
Dr Steele pointed me in the direction of this article from JAMA that was written back in 1927. Although not directly related to the world of Nephrology, it contains advice on building a relationship with your patients and…
As renal fellows, we are always involved in the most severe cases of hospital acquired AKI that require dialysis. Previously on RFN, we examined the impact that these cases have on the long term risk of ESRD. What…
This fall I attended the fourth annual Origins of Renal Physiology course for nephrology fellows at the Mount Desert Island Biological Laboratory (MDIBL). The course was designed to allow fellows an opportunity to connect with the historical roots…
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…
Treating hypertension on pregnancy sometimes feels a little like going back in time. As Nate posted previously, the list of anti-hypertensives that are considered safe in pregnancy is relatively short – first line agents include labetalol, hydralazine, methyldopa…
Winter season arriving and you might see a couple of transplant patients with colds… Immunosuppressants have the potential to interact with OTC meds used to treat common colds and coughs, which can lead to alterations in the degree…