The Diet Pill and the Deadly Acidosis

I was recently called to evaluate an obese patient with profound metabolic acidosis who was admitted to the hospital with change in mental status and poor oral intake for several days. Her admission labs revealed severe hyperglycemia (glucose…

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World Kidney Day 2011

Happy World Kidney Day 2011!   This years theme is-  protect your kidneys, save your heart.   World Kidney Day began in 2006 and has continued to grow each year.  While every other organ system/disease has had a day/month for…

World Kidney Day: Top 10 List

Nephron Power and Precious Bodily Fluids have nice kidney-related Top 10 lists for World Kidney Day.  Here’s our list. 10.  One kidney= winning, two kidneys= bi-winning 9.    Most successful solid organ transplant. Living donor transplant is a…

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PPI-Associated Hypomagnesemia

At renal grand rounds today, we heard about a case of severe hypomagnesemia in a patient who was on chronic omeprazole therapy. While the etiology of the low Mg2+ was likely multifactorial, I was surprised to find out…

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Thrombosis and the nephrotic syndrome

Should patients with nephrotic syndrome (NS) be anticoagulated? Is there any level of proteinuria or albumin at which we should be especially concerned? The rates of venous thromboembolism (VTE) have ranged from 8-44% in observational studies and it…

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Pregnancy in the Dialysis Patient

While recently reading about hypogonadism in the dialysis population, I came across this review on the pregnancy outcomes in women on dialysis, summarizing observational studies published between 1995 and 2009. I have participated in only a few pregnancy-planning…

Measures of dialysis dose

As previously discussed on RFN, the urea Kt/V is a measure of dialysis dose that is related to patient outcome. There are several different Kt/Vs encountered in the dialysis literature. spKt/V = single pool eKt/V = equilibratedstdKt/V =…

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