Anti-Nephrin Antibodies in Minimal Change Disease
Approach to the Patient with Peritoneal Dialysis Catheter Dysfunction- Part 1
Want to write a case report? RFN has you covered with a list of journals to choose from
Have a Nephrology Question? There Might Be A #Tweetorial For That!
Conferences, Courses, & Grants
FOAMed
Interventional Nephrology Series
Focus on Point-of-Care Ultrasound in Nephrology (POCUN) Series
Kidney Biopsy of the Month Series
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…
2019 RFN Editors’ NephMadness Champion: Terlipressin
NephMadness has begun! Submit your 2019 NephMadness picks here.We’ll review some NephMadness basics below and leak our picks for this year. 1.What is NephMadness? NephMadness is an educational game played out across social media, modeled after the US…
Urine Sediment of the Month: Dysmorphic RBCs, the Hallmark of Glomerular Hematuria
The use of urine sediment analysis is important for the diagnosis of glomerular hematuria. Red blood cells (RBC) casts, beautifully illustrated by @jrseltzer in last month’s post, usually confirm glomerular hematuria – but this is a rather special…
Donor-Derived Cell Free DNA: Once Trivial Now A Potential Marker of Organ Rejection
“You’ll come to learn a great deal if you study the insignificant in depth” ― Odysseus Elytis In kidney transplant recipients, serum creatinine (SCr) remains the mainstay of allograft function assessment. Biopsy is the gold standard to diagnose…
IdeS (Imlifidase): Breaking Bad Immunoglobulins in Sensitized Transplant Recipients
Despite tremendous advancements in transplant and immunosuppressive therapy, transplantation in sensitized patients remains a major challenge. The presence of pre-transplant donor-specific antibodies (DSA) is strongly associated with poor outcomes, hyperacute, and antibody-mediated rejection. Sensitization can occur through blood…
Treating Anemia in CKD in the Era of HIFs: A Ray of Hope?
I commonly encounter two questions from patients with chronic kidney disease (CKD) in regards to anemia: “How can I avoid taking injections?” “Is this anemia treatment safe” The development of anemia represents a challenging problem in patients with…
Hurricane Maria: A Nephrology Fellow’s Perspective
The 2017 Atlantic Hurricane Season was among the most active and devastating in history. Hurricane Maria caused an estimated $90 billion in damages in Puerto Rico and the U.S. Virgin Islands, making it the third costliest tropical cyclone…
Holy Moly! What’s Up with the Foley?
Exclusion of urinary tract obstruction is one of the most common indications for point of care ultrasonography (POCUS) performed by nephrologists and internists, as it is a potentially reversible cause of acute kidney injury. Though obstruction of urinary…
Midodrine in Hemodialysis: Could it do More Harm than Good?
Midodrine [1-(2′,5′- dimethoxy phenyl-1)-2- glycinado-ethanol (1)- hydrochloride] is a prodrug with rapid and near complete bioavailability after oral administration resulting in peak plasma levels 40 minutes after oral consumption. Midodrine is then converted by enzymatic cleavage in the…
How to Examine a Vascular Access: Part 2 The Physical Exam
Last week we looked at the basics and useful terminology employed for examining a vascular access. Now we will focus on specifics of the physical exam. Physical Examination Inspection (Look) Visual inspection can provide important clues regarding the…