Anti-Nephrin Antibodies in Minimal Change Disease
Approach to the Patient with Peritoneal Dialysis Catheter Dysfunction- Part 1
Want to write a case report? RFN has you covered with a list of journals to choose from
Have a Nephrology Question? There Might Be A #Tweetorial For That!
Conferences, Courses, & Grants
FOAMed
Interventional Nephrology Series
Focus on Point-of-Care Ultrasound in Nephrology (POCUN) Series
Kidney Biopsy of the Month Series
Follow the patient, not the number
As a nephrology fellow, I find it somewhat challenging to follow a patient with advanced CKD (eGFR, MDRD 8-10). However, I do find this process rewarding as it truly allows for the establishment of a substantial relationship with…
Economist discussion on whether trading organs should be allowed
Following on from recent posts on the subject by Jamil, The Economist are hosting a live web debate on the issue of organ trading now. Join in on the discussion here.
Fibroepithelial polyp of the lower urinary tract
I wanted to share a case of a 35-year old man with hypertension and reduced renal function (GFR about 70). Family history was significant for a paternal grandmother and mother with hypertension. No evidence of secondary causes of…
Cisplatin induced hyponatremia; looking deeper
Cisplatin based therapy for the treatment of solid organ tumors is commonly associated with several renal abnormalities including; *hypokalemia*hypomagnesemia*hypocalcemia*hypophosphatemia*fanconi-like syndrome*acute kidney injury We have all seen these complications on the renal consult service at least once. However, less…
ACE inhibitors and PD
Back to the subject of ACE inhibitors again. There are a number of reasons why ACEi might be particularly beneficial for patients on PD and two recent editorials in KI and CJASN laid these out very well. 1….
Proteinuria: The glomerulus isn’t always to blame
We usually associate proteinuria with a defect in the glomerular filtration barrier, but it is useful to remember that the proximal tubule (PT) also plays a role in resorption of proteins. Nate discussed this controversy in a prior…
Achilles heel of dialysis
Vascular access is the Achilles tendon of hemodialysis. Just yesterday, I saw a patient with one of those lumbar catheters… Examining his arm revealed that he had failed 4 attempts of access creation (2 fistulas and 2 grafts)….
Typical HUS: beyond shiga
Hemolytic Uremic Syndrome is characterized by the triad of Microangiopathic hemolytic anemia Thrombocytopenia Renal failure. The disease is broken down into Typical, or diarrhea associated Atypical, or diarrhea negative cases. 90% of HUS cases in the United States…
Vas-cath exposure variability
How many vas-caths did you (the renal fellow) place during your clinical year (1 year)? Poll results: 0-5 (IR does most of these) 4 (4%) 0-5 (Surgery does most of these) 2 (2%) 0-5 (IM residents do most…
Therapeutic misadventures in rhabdo
There are three commonly promoted strategies used in the treatment and prevention of AKI in rhabdomyolysis: 1) Normal saline 2) Bicarbonate containing solutions 3) Mannitol. Volume resuscitation is clearly paramount when treating rhabdo, but whether bicarbonate or mannitol…