AAMI…What You Wanna Do?

For a while, maybe longer if I do…. No, I’m not talking about the one-hit wonder song “Amy” by Pure Prairie League…I’m talking about AAMI (the Association for the Advancement of Medical Instrumentation), the organization which regulates water…

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Why doesn’t this catheter work?

Dialysis catheters:  the bane of the renal fellow’s existence. I’m sure there are some of you who actually like putting in catheters and are quite good at it, and while I will admit that an efficient line placement…

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Serum Free Light Chain Assay

The dilemma:  there are a subset of patients with some type of paraproteinemia–e.g., light chain deposition disease or amyloidosis, for instance–which are NEGATIVE by SPEP & UPEP.  When there is renal involvement, the diagnosis can potentially be made…

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Macroglossia

As you may recall, macroglossia (an enlarged tongue) is one of the many manifestations of amyloidosis, the systemic disorder in which a particular protein is deposited as Congo-red positive aggregations. You may also recall that amyloidosis can be…

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Gestational Diabetes Insipidus

Changes in the regulation of serum osmolarity is just one of the many chances that occurs during the normal physiologic response to pregnancy.  Beginning with the first trimester, the plasma osmolarity level, serum Na, and osmolarity thresholds for…

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Aggrenox for Maintaining AV Graft Patency?

A very significant percentages of ESRD patient admissions derive from clotted dialysis access–the “lifeline” dialysis patients require in order to survive on dialysis. Any maneuver or treatment which is successful in preventing, or even delaying, access thrombosis would…

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