SLE and Dialysis

It is well known that patients who are referred to see a nephrologist earlier in the course of their disease are more likely to start dialysis with a functioning fistula and have better overall survival relative to those…

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Renal allograft rupture

Renal allograft rupture has been defined as a split in the renal capsule, associated with haemorrhage, when no identifiable injury was noted at the time of harvesting. Renal allograft rupture is a rare, but life-threatening, complication of renal…

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Diarrhea and Tacrolimus

Recently, a patient presented to the transplant service with diarrhea and dehydration. He had been trying unsuccessfully to manage his diarrhea at home and was admitted for intravenous fluids. During his work-up, his tacrolimus levels were noted to…

AKF: Pair Up

Pair Up is the American Kidney Fund’s new national campaign empowering women to protect themselves— and the people they love— from kidney disease. Laila Ali joined the AKF this past Thursday to kick off the Pair Up campaign…

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Dialysis care in Bangladesh

Although diabetes and hypertension rates in developing countries is rising to match that seen in developed regions, care for patients with end-stage renal disease is still a nascent field. I recently visited Dhaka, Bangladesh. I was able to…

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When Pressed to Check the Pressure

Estimating a patient’s intra-abdominal pressure (IAP) can be a challenge when the patient is not in an ICU setting and abdominal compartment syndrome or intra-abdominal hypertension are suspected.  Here is a quick method for estimating IAP. This is…

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