Bactrim & elevated creatinine

The antibiotic Bactrim is frequently associated with an increase in creatinine shortly after starting it. While Bactrim is a not uncommon cause of acute interstitial nephritis (AIN), the most frequent reason for a Bactrim-associated creatinine increase is actually…

Old Dialysis Video

Check out this video I found of the alleged first-ever home dialysis patient in England. Very civilized, except for the fact that it looks like the patient is using a permanent femoral dialysis catheter–something which would be used…

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CKD in the Elderly

A current controversy in the CKD community involves definitions of CKD in the elderly. The issue is not trivial: were we to apply the standard KDOQI definitions of CKD staging, using the MDRD equation to estimate GFR, this…

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cisplatin-induced acute kidney injury

At the Brigham and Women’s Hospital & the Dana Farber Cancer Institute, there is an ongoing trial of using pneumonectomy and injected, heated cisplatin into the pleural space for patients with malignant mesothelioma, a condition with an overall…

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mesanagial cells

Mesangial cells–which historically have received less attention than their more “sexy” neighbor cell types of the glomerulus such as podocytes & endothelial cells–are actually quite interesting.  They were originally seen as having purely a “matrix” function–that is, serving…

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Gamblegrams

Heard a very good Renal Grand Rounds yesterday from visiting professor Michael Emmett, currently chair of the Dept. of Medicine at Baylor, regarding the anion gap. Amongst the pearls I took away from his lecture: 1.  “Gamblegrams” (left),…

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TGF-betas & diabetic nephropathy

The TGF-beta family of proteins has wide effects on nearly every tissue of the body–it is one of the key players in a mammalian development and homeostasis.  It also has particular relevance to renal pathophysiology as one of…

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What is DOPPS?

DOPPS is an acronym which stands for “Dialysis Outcomes and Practice Patterns Study.” It is one of the largest prospective study of ESRD patients worldwide and is comprised of a random sampling of dialysis patients in a random…

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