Isolated microscopic hematuria

We have had a rush of patients with isolated hematuria in my clinic recently. The question that occupies so much precious time of the nephrologist reared it’s head……. ‘what are the indications for a renal biopsy’. Isolated persistent…

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The urine’s the thing…

Vomiting or nasogastric tube (NG) decompression can lead to metabolic alkalosis, often associated with hypokalemia. When asked what the source of the K loss is, most people assume it is lost in the gastric fluid. However, gastric fluid…

Renal Malignancy Syndromes

I had a patient come to see me last week with the rare disorder, Birt Hogg Dube Syndrome (BHD). She was referred with a mildly elevated serum creatinine and microalbuminuria against a background of a single kidney following…

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Renal Stress Testing

According to the most recent NHANEs data, 15.5 million Americans have CKD III, a figure that has increased by over 40% in less than a decade. CKD III is primarily a marker of global health outcomes, and affected…

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ASN launches renal fellow website

The American Society of Nephrology (ASN) announced the creation of a “fellow’s” website today. You can locate this site by following the link or going to the “training” tab of the main ASN website (www.asn-online.org). The ASN fellow’s…

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The Earlier The Better

I am currently writing a chapter about Living Kidney Donation “the Gold Standard”. With that in mind and two recent discussions with my co-fellows, I decided to discuss a little bit about the choice of the kidney donor…

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An excursion into Magnesium homeostasis

Magnesium (Mg++) is a predominantly intracellular divalent cation which is critical for many metabolic processes and participates in >300 enzymatic reactions. It is essential for many critical transporters including the Sodium/Potassium ATPase cotransporter. Mg++ also has a critical…

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