Welcome to the 24th case of the Skeleton Key Group, a team of 50-odd nephrology fellows who work together to build a monthly education package for the Renal Fellow Network. The cases are actual cases (without patient identifying…
Sriram Sriperumbuduri MD DM DRCPSCNephrology FellowThe Ottawa Hospital, Ottawa Canada@sriperumbuduris Catheter dysfunction in peritoneal dialysis (PD) is a common complication leading to diminished quality of life, reduced dialysis and the potential to abandon PD and transition to hemodialysis…
One of the welcome side-effects of doing your own urine sediment examination is having easy access to a microscope and some basic lab equipment. This allows you to examine all sorts of things besides urine (Fig. 1). For…
Raphael Rosen, MDFellow, New York Presbyterian / Columbia University Medical Center@RaphyRosen One of the major challenges in the care of patients on hemodialysis is the establishment and adjustment of dry weight. Strikingly, among the many quality metrics that…
Simon Smith, MDInternQueen Elizabeth Hospital, Gateshead, UK Jamie Willows, MDRenal fellowFreeman Hospital, Newcastle Upon Tyne, UK Diabetic ketoacidosis (DKA) is a well recognised complication of diabetes when insulin supply cannot meet demand. To briefly recap the familiar pathophysiology:…
Abhilash Koratala, MD, FASN @NephroP, Medical College of Wisconsin Identification of pericardial effusion is one of the basic applications of focused cardiac ultrasound (FoCUS). As previously discussed, pericardial effusion appears as an anechoic or echo-free space between the…
Welcome to the 23rd case of the Skeleton Key Group, a team of 50-odd nephrology fellows who work together to build a monthly education package for the Renal Fellow Network. The cases are actual cases (without patient identifying…
The COVID-19 pandemic has resulted in diminished camaraderie among trainees. This is secondary to social fragmentation, reduced connectivity, and disappointedly limited opportunities to interact with like-minded individuals at national conferences. This has been a challenging time for all…
To stain, or not to stain, that is the question. Different illumination techniques are available to visualize the formed elements in the urinary sediment. The two most commonly used are brightfield and phase contrast. Brightfield illumination provides high…
Shweta Shah, MDAssistant ProfessorRenal Section, Department of PediatricsTexas Children’s Hospital@nefron1310 I recently came across a tweet about the use of mustard for dialysis cramps. I had never heard of my patients using this remedy for their muscle cramps…