File “Gordon Syndrome” under “interesting causes of hyperkalemia and metabolic acidosis you may never see.” Also called pseudohypoaldosteronism type II, Gordon Syndrome is relevant less so for the number of patients afflicted but more due to the interesting…
There are a variety of drugs which can result in hyperkalemia, via a variety of mechanisms. Here are a list of some of the common offenders, categorized loosely based on mechanism, though admittedly there is some overlap between…
Geriatric nephrology is in focus in this weeks NEJM with this excellent article by Tamura et al. By linking the USRDS database to a national registry of nursing home residents, they were able to document changes in functional…
It was a close vote that came down to the wire, but there was an ever-so slight preference for peritoneal dialysis modalities (53% CAPD+CCPD) as compared to hemodialysis modalities (47% standard hemo + home hemo) when RFN readers…
They may have struggled to get girlfriends in college, but members of the International Ascites Club do call the shots when it comes to defining hepato-renal syndrome (HRS). As they were published in Gut, their revised criteria for…
The Dead Sea, located between Israel and Jordan, is considered one the saltiest bodies of water on earth, giving swimmers a peculiar buoyancy when immersed. Interestingly, the electrolyte composition of the Dead Sea is quite different from that…
There are some interesting acid-base perturbations that can take place in the setting of eating disorders and/or surreptitious use of substances used to intentionally lose weight. Due to the surreptitious nature of many of these disorders, some lab…
Secondary prevention of nephrolithiasis is often overlooked, but since a large percentage of 1st-time stone formers will go on to develop another episode of nephrolithiasis, it makes sense to make simple dietary modifications that can minimize the risk…
The term “T-regs” is shorthand for “regulatory T-cells”–a subpopulation of T-cells which act to suppress immune system activation and promote tolerance towards self-antigens. Although the existence of T-regs was felt to be controversial up until relatively recently, the…
Very interesting results of the RFN Poll of the Week regarding different opinions regarding managing the potassium bath in a patient with hyperkalemia! Of the options give, there was a near three-way split between the first three answers…