This annual symposium is open to nephrology and pulmonary/critical care fellows, clinicians, nurses, pharmacists and anyone interested in obtaining a practical understanding of continuous renal replacement therapy (CRRT). Registration is now open. When: August 29 and 30, 2019…
Autosomal dominant polycystic kidney disease (ADPKD) is one of the most common genetic kidney disorders with a reported incidence ranging from 1:500 to 1:1000. The genes implicated in the disorder are PKD1 (encoding polycystin 1) and PKD2 (encoding…
As a general rule, in any patient presenting with acute kidney injury without an obvious cause, obstructive nephropathy must be excluded because prompt intervention can lead to improvement or complete recovery of renal function. Therefore, the detection of…
In an ideal world, patients would present to our clinic with straightforward conditions, allowing us to confidently treat the patient with effective medications which will likely have much more benefit than harm. However, we also commonly encounter patients…
Welcome to the “Home Hemodialysis Series” on the Renal Fellow Network! Once Upon a Time “Perhaps what we need is a home dialysis unit to be placed by the patient’s bedside, so that he can plug himself in…
Hyponatremia from the Syndrome of Inappropriate Anti-Diuretic Hormone (SIADH) is a common consult a fellow encounters on the inpatient service. In addition to stopping potentially offending drugs, management can range from fluid restriction, loop diuretics, demeclocycline, salt tablets,…
Perhaps that most highly sought finding in urinary sediment microscopy is the presence of granular casts. In clinical grounds, granular casts are typically associated with acute tubular injury (ATI) and guide the differentiation between prerenal and overt tubular…
Introduction Ideally, patients with end-stage kidney disease would begin hemodialysis with a mature, functional arteriovenous access. However, in certain subgroups of patients, central venous catheters (CVCs) are unavoidable. Even for patients who ultimately use an arteriovenous fistula (AVF)…
Our review of normal kidney histology concludes with the vasculature. The kidneys are richly vascular organs, receiving approximately one-quarter of the cardiac output. The renal vascular architecture is unique and complex, allowing the kidney to perform its many…
As a nephrology trainee, everyone expects you to know all things nephron. I was having a corridor discussion with a rheumatology colleague about a recent case. He mentioned a young man who presented with acute kidney injury following…