It can often be difficult to stop something once it’s been started; take statins for example. It seems that despite consistent evidence from two large, randomized controlled trails demonstrating the lack efficacy of statins for preventing cardiovascular mortality…
The readers of the Renal Fellow Network have spoken, and the answer is clear: the most blood pressure elevating activity is catheter-related! 29% of fellows selected the first answer (the MICU nurse paging you to inform that your…
Trust the Swiss to approach a problem from a confectioners viewpoint. The options for managing hyperkalemia in dialysis patients have always been limited and unpalatable, but this preliminary clinical study from Berne provides some hope. It suggests that…
Calciphylaxis (also called calcific uremic arteriolopathy) is a syndrome of vascular calcification, thrombosis, and necrosis, occurring almost exclusively in ESRD patients. The diagnosis is typically achieved by clinical exam–demonstrating painful, necrotic, and sometimes ulcerating lesions usually on the…
One of the largest controversies in the field of proteinuria/nephrotic syndrome research derives from a 2007 Kidney International paper published by Russo et al. Briefly stated, the authors suggest the paradigm-shifting idea that the glomerulus filters massive amounts…
The French, renowned for their culinary excellence, pride themselves on being able to include every part of the cow in a tasty dish. Regrettably, this includes finding uses for the many internal organs, one of the more challenging…
We all know that there is a drastic shortage of donor kidneys available: in the state of Massachusetts, for instance, the average time on the kidney transplant waiting list we’re quoting to patients is about 5 years…which for…
In the past I’ve struggled to get my head around the question of the role of statins in CKD. On the one hand they appear to slow progression, and people with lots of proteinuria often show some reduction…
Changes are afoot at Renal Fellow Network! First off, we’re going to feature a NEW CONTRIBUTOR to this blog! Despite the blog’s moniker of “Renal Fellow Network”, it has not been as much of a “network” as I’d…
Too long have I seen the “Nail-Patella Syndrome” included in the differential diagnosis of renal disease without understanding anything about it…that ends today! The Nail Patella Syndrome (NPS), also referred to as Hereditary Onychoosteodysplasia, is an autosomal dominant…