When seeing consults on the maternity floor, figuring out the normal values at the various stages of pregnancy can be a frustrating experience. There are well recognized hemodynamic and biochemical changes which occur from the earliest stages of…
The correct answer is D. The criteria for expanded-criteria donors (ECD) are: age greater than 60 years old OR age 50 to 59 years old and at least two of the following: History of hypertension Terminal creatinine >…
Hypertension continues to be major public health concern. Efforts to manage this sometimes difficult to treat condition have only started to positively impact patient health. In some instances hypertension can be refractory to intense medical therapy. It is…
RFN wanted to know which journals were most helpful for nephrology fellows in training. As a busy nephrology fellow it can be difficult to find time to sift through the vast plethora of neprhology related journals. Interestingly, CJASN…
I recently saw a biopsy for a patient who was suspected of having myeloma-related kidney disease, whose biopsy slides were sent to the pathology department at BWH. Along with them came results from a slew of screening tests,…
And now for a discussion of a burning nephrology question: what happens to a bear’s renal function when it goes into hibernation? (Thank my brother for raising the question while he was a medical student.) The simple answer…
Urinary tract obstruction is a frequent occurrence in the hospitalized setting. Thankfully, after relief of the obstruction a vast majority of patients have complete recovery of kidney function. However, a few patients will have marked polyuria (>4-5L per…
A 30-year-old man was admitted to our hospital for evaluation of lung nodules detected during pre transplant evaluation for his stage V chronic kidney disease (CKD). Sounds routine, but what caught me completely clueless was when I was…
Having just returned from my own honeymoon, I was taken by this recent hypothesis-piece by Fishbane et al. They have made some observations on the natural history of untreated renal anemia from examining the placebo arm of the…
In a previous post I discussed the relative rates of infection and graft failure of femoral and jugular dialysis catheters. As a follow-on I wanted to talk about another potential complication of catheters. Recently one of our patients…