The academic year is almost over and many renal fellows can finally see the long awaited “light” at the end of the tunnel. Two first year renal fellows and Nephron Power blog contributors from North Shore-Long Island Jewish…
What is your approach to the patient with occasional high, or variable, blood pressure readings, or measurements that bounce around above and below the target range? In such situations, the American Heart Association guidelines on measurement of blood…
I talked earlier this year about “Compensation for living donation”. The comments I got show how controversial this subject is. I was happy to see that ATC this year opened the debate on this crucial matter because keeping…
As this is restaurant week in Durham, NC, I thought it would be fitting to blog about the health benefits of food, in particular the delicacy that is ‘dark chocolate’. This is not a new idea in the…
Drug-induced autoimmune diseases of the kidney include SLE-like disease and drug-induced vasculitis (DIV). As many as 10% of all diagnosed Lupus cases in the US may be drug-induced Lupus (DIL). These syndromes typically develop after drug treatment for…
It’s time to write about something truly cool in the world of dialysis (how often do we get to say that?). In early 2011, clinical trials are scheduled to begin testing the AWAK, or Automated Wearable Artificial Kidney….
Nodular glomerulosclerosis refers to a histologic pattern of nodular mesangial sclerosis with accentuated, lobular-appearing glomeruli on renal biopsy. Although classically described in association with diabetes (the so-called “Kimmelstiel-Wilson lesion”), the lesion is NOT pathognomonic for diabetic nephropathy. In…
Mostly I think about the bladder, in a professional sense, as a possible site for obstruction to be ruled out. Occasionally, when I’m personally reminded about it, I wonder how much urine it can hold. (Pearl from residency:…
I recently saw a young hypertensive patient who had suffered a motor vehicle accident complicated by a transected aorta that was successfully repaired several years back. He has had hypertension since then and was referred to us for…
Since the retraction of the COOPERATE trial by the Lancet late last year (following Regina Kunz’s famous ‘letter of concern’), combination RAAS blockade has suffered something of a fall from grace. This was dealt a second blow by…