Landmark Trials in ANCA-Associated Vasculitis: Past, Present and To Be Cont’d…
Kidney Biopsy of the Month- The Tubulointerstitium Part 2: The Medulla
Urine Sediment of the Month: Dysmorphic RBCs, the Hallmark of Glomerular Hematuria
IdeS (Imlifidase): Breaking Bad Immunoglobulins in Sensitized Transplant Recipients
FOAMed
The Paradox of Hypertonic Saline Use in Heart Failure
The general notion is that edematous states like acute decompensated heart failure (ADHF) respond to the combination of sodium restriction and diuretic therapy. In fact, non-adherence to sodium restriction is believed to be a primary cause of failure…
A Clinical Discussion of AV Fistula and Graft Complications: Part 2
Last week we covered 5 clinical scenarios involving arteriovenous fistula and graft complications. We now discuss another 5 common scenarios as part 2 of the series. Please note: these cases are vignettes created for educational purposes and patient…
A Kidney Perspective on Leukemia & Lymphoma
Based on previous studies, the kidney is the most common site of extra hematopoietic involvement in hematologic malignancies, up to 90% in certain series. As with any other kidney disease, the approach to acute kidney injury (AKI) should…
Basics of Lung Ultrasound for the Nephrologist: What are A-lines and B-lines?
Why should nephrologists perform lung ultrasonography? Determination of volume status is a frequent challenge faced by nephrologists in routine clinical practice and errors in this assessment may result in inappropriate therapy and potentially adverse patient outcomes. Lung ultrasound…
A Clinical Discussion of AV Fistula and AV Graft Complications: Part 1
We learn the concept of ‘Fistula First’ since day 1 of fellowship. However primary failure rates have been rather high, with variable numbers reported in different literature. In addition, other complications related to AV fistula and AV graft…
Landmark Trials in ANCA-Associated Vasculitis: Past, Present and To Be Cont’d…
Anti-neutrophil cytoplasm antibody (ANCA) was first described in 1982 in a case of segmental necrotizing glomerulonephritis (Fig. 1). The first international ANCA workshop in 1989 delineated a standard immunofluorescence technique to test for ANCA in kidney biopsy specimen….
Origins of Renal Physiology Course: Fellows 2019
When: August 17–24, 2019Location: MDI Biological Laboratory (travel information)For: Nephrology Fellows Origins of Renal Physiology is entirely unique among national renal short courses. The course provides participants with research tools that give them a deeper understanding of concepts…
How I Find Time to Educate as a First Year Nephrology Fellow
I’m a first-year nephrology fellow who is very passionate about medical education. As a fellow at a large academic center, I have the opportunity to work closely with trainees from multiple levels and play an integral role in…
Kidney Biopsy of the Month- The Tubulointerstitium Part 2: The Medulla
Last month, we focussed on the renal cortex in the tubulointersitium, as part of the Kidney Biopsy of the Month: What is Normal series. We will now concentrate on the renal medulla, a region of the kidney sometimes…
Critical Care and Nephrology: A Match Made in Heaven or a Mere Crush?
Literature shows that over half of the patients admitted to the intensive care unit (ICU) will eventually develop some degree of acute kidney injury (AKI). The development AKI imparts significant repercussions to both the acute and long term…
