Social exclusion is a broad term describing a continuum of inclusion/exclusion characterized by unequal access to resources, capabilities and rights. Social exclusion has been associated with reduced access to health care and worse outcomes. Currently, I work in…
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…
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…
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…
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…
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…
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….
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…
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…
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…