The Modification of Diet in Renal Disease (MDRD) Study is one of the landmark papers of Nephrology. The 1994 NEJM paper describing the initial results is freely available, and there are many interesting follow-up studies using the same…
Diabetic nephropathy characterizes a huge chunk of any nephrologist’s practice. Some of the issues to tackle with each visit are obvious–e.g., adequate glucose control, minimization of proteinuria, control of blood pressure–and generally much easier to talk about than…
There is a popular belief that drinking lots of water is good for one’s health. One classic recommendation from doctors to patients–nobody knows where it comes from–is to drink 8 glasses of 8 ounces of liquid beverages daily….
The Panel 7: I remember it was one of the first things I learned in clinical medicine. Na, K, Cl, HCO3, BUN, creatinine and glucose. I know not all countries use the same “grid format” of presenting these…
We are well-versed in describing to our soon-to-be ESRD patients their options: kidney transplant, hemodialysis, or peritoneal dialysis. However, in many developing countries, these options do not exist, or there may be a significant delay in getting them…
We are all relatively familiar with the WHO classification system for lupus nephritis, which gives nephrologists a relatively good idea of renal prognosis based on the histologic findings of renal biopsy. A similar type of system has been…
Hope everybody is having a happy holiday season–even those nephrology fellows (not myself, fortunately) who are required to staff the dialysis unit in lieu of spending time with family and friends. An unusual cause of acute kidney injury…
Don’t be fooled into dialyzing patients that don’t need to be dialyzed! You have to beware of the pseudohyperkalemia. The most common cause of pseudohyperkalemia of course is due to hemolysis from venipuncture. There are other, more rare,…
There is an interesting article in the most recent New England Journal of Medicine describing the epidemiology of the now infamous Baxter heparin recall which occurred over the past year or so. In brief, a Missouri pediatric dialysis…
Nearly any primary glomerulopathy has the possibility of recurring following a kidney transplant; however, the frequency and severity with which this occurs varies to a large degree. For instance, evidence of mesangial IgA deposition can be seen in…