Is this normal?

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…

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Board question: Transplant answer

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 >…

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Do hibernating bears urinate?

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…

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Post obstructive diuresis

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…

Something fishy?

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…

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Epo: The honeymoon is not over

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…

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