Anti-Nephrin Antibodies in Minimal Change Disease
Approach to the Patient with Peritoneal Dialysis Catheter Dysfunction- Part 1
Want to write a case report? RFN has you covered with a list of journals to choose from
Have a Nephrology Question? There Might Be A #Tweetorial For That!
Conferences, Courses, & Grants
FOAMed
Interventional Nephrology Series
Focus on Point-of-Care Ultrasound in Nephrology (POCUN) Series
Kidney Biopsy of the Month Series
Phosphate Binders Lower Mortality in ESRD Patients
I heard a talk today by one of the fellows in our program who is also the senior author on this recent JASN article: Phosphorus Binders and Survival on Dialysis. Interestingly, even though the current KDOQI Guidelines recommend…
The Legendary Walkerton, Ontario HUS Outbreak of 2000
In a recent Kidney International Supplement issue dealing entirely with TTP/HUS, there are two interesting articles regarding the Walkerton, Ontario HUS Outbreak: the largest public health disaster involving municipal water in Canadian history. In May 2000, approximately 2300…
Loin Pain-Hematuria Syndrome
The loin pain-hematuria syndrome occurs when glomerular hematuria occurs in conjunction with renal colic, in the absence of glomerulonephritis or a worsening of renal function. It is not a common disorder, though appears to be more common in…
The Many Faces of IgA Nephropathy
Heard a case this morning regarding an elderly white patient who presented with nephrotic syndrome and minimal hematuria. After going through the extensive differential diagnosis, focusing largely on the likely candidates (membranous nephropathy and minimal change disease), the…
Basic Immunosuppression Prophylaxis Protocols
A quick & dirty guide for what kidney transplant patients should be on for prophylaxis: 1. PCP Prophylaxis: should be given to all patients for as long as they are on steroids. The standard is Bactrim SS given…
Antibiotic Lock Solutions for Catheter-Related Bacteremia
It doesn’t take long for the renal fellow to realize that a huge chunk of ESRD hospital admissions are due to catheter-related bacteremia, and a number of different algorithms exist for the management of dialysis catheter-related infections. Typically,…
Plasma Exchange for Catastrophic Antiphospholipid Antibody Syndrome
Interesting case for the weekend: young woman with known lupus, baseline normal kidney function; admitted initially with headaches and “feeling more lupusy than usual”, found to have a creatinine of 2.5 on admission with some dysmorphic RBCs on…
Basic Renal Anatomy
Here’s a video describing basic renal anatomy. Reviewing the vasculature is always a good idea: renal artery–>segmental arteries–>interlobar arteries–>arcuate arteries–>interlobular arteries–>afferent arterioles–>glomerular capillaries–>efferent arteriole.
Bladder versus Enteric Drainage of Pancreatic Transplants
Saw a patient today in clinic who was s/p simultaneous pancreas-kidney transplant about 15 years ago. The kidney is hanging in there (Cr 2.5mg/dl) and the patient does not require insulin, so we have to consider the transplant…
Dual ACE/ARB therapy: ONTARGET
The ONTARGET trial was on the major trials looking at the potential benefits of dual ACE-inhibitor (ACE-I)/angiotensin receptor blocker (ARB) therapy. Although it was not intended to specifically examine the effects of dual blockade of the renin-angiotensin system…