Time for some “Renal Radiology Rounds.” The case involves a 77 year-old man with a history of severe benign prostatic hypertrophy. He had been advised to have a TURP in the past but had repeatedly declined. He was…
This is probably fairly basic to many renal fellows already, but the Hemodialysis Prescription is an integral part of any nephrologist’s routine. The hemodialysis prescription should specify the following: 1. The dialyzer being used. These days, most dialysis…
Don’t confuse “cystinosis” with “cystinuria”: they are different diseases, both genetic and both involving the amino acid cystine–but with decidedly different pathogeneses. Hereditary cystinosis is an autosomal recessive disorder caused by mutations in the CTNS gene, which encodes…
One of the most exciting new advances in the field of pre-eclampsia has been the relatively recent discovery of the role of sFlt-1 in pre-eclampsia. sFlt-1 (which stands for “soluble Fms-like tyrosine kinase) is a circulating protein which…
Starfruit (Averrhoa carambola) is a popular tropical fruit in numerous countries of Asia and South America, and is increasing found in Western countries as well. Why am I writing about this on the Renal Fellow Network? It turns…
Here are a few random pearls that I took away from yesterday’s combined Beth Israel-Brigham-Mass General renal fellows’ educational talk by Burton Rose a.k.a. “The Up-To-Date Guy” and author of the highly-recommended “Clinical Physiology of Acid-Base and Electrolyte…
I would highly recommend the following book for renal fellows everywhere: “Dropsy, Dialysis, Transplant: A Short History of Failing Kidneys“, by Steven Peitzman. I am presently reading it during my trips on the “T” while commuting into Mass…
Here’s a case I saw on the consult service last week which demonstrates the utility of examining the urine sediment yourself. The clinical scenario: a 50 year-old male with a history of hepatitis C liver disease who was…
Any nephrology fellow running the Consult Service will rapidly realize that heart failure and renal failure often go hand in hand, earning the moniker “cardiorenal syndrome.” The thought here is that decreased forward flow from pump failure results…
ANCA-positive vasculitides are a not uncommon cause of rapidly progressive glomerulonephritis. When we send off an ANCA test, what are we actually measuring? ANCAs (anti-neutrophil cytoplasmic antibodies) are a type of IgG autoantibodies that are directed against antigens…