1) Isopropyl alcohol does NOT cause an elevated anion gap acidosis, retinal toxicity (as does methanol), or renal failure (as does ethylene glycol). 2) Fibril diameter of the more common fibrillary diseases – Amyloid, Fibrillary GN, and Immunotactoid GP – is correlated…
So after many months and a few intensive weeks of study the nephrology boards are now in the record books and I thought I’d examine what worked and didn’t work in my study efforts. If you’re part of…
How familiar are the following scenarios to you? You’re in clinic and have just seen a 69 year old man with a longstanding history of hypertension. He has been referred by his internist to nephrology for an eGFR…
There are a laundry list of renal complications in multiple myeloma that have been previous reviewed on RFN. Myeloma cast nephropathy is one of the most frequent, being found in approximately a third of patients in autopsy series….
I’m not a huge conference goer. I’ve been to ASN a few times and have made a brief appearance at the Advanced Nephrology for the Consultant down in San Diego but otherwise haven’t seen much of the…
The Williams sisters put yet another Wimbledon doubles tittle into their trophy case over the weekend. This, just hours after Serena had won the singles competition. Pretty impressive. In reading the coverage I learned that during the last…
A few months back I was covering the inpatient consult service when one of our patients on peritoneal dialysis came in for an elective combined aortic valve replacement and coronary artery bypass grafting. She had recently switched over…
As a medical student I was taught the CKD hypertension gospel straight from the good book of JNC VII: Thou shalt lower the blood pressure to less than 130/80! This was many years after David Bowe and Freddie…
Often on rounds with medical students or housestaff we will review why a serum creatinine of 0.8 mg/dl in a 40 year old athlete… may mean a much higher creatinine clearance than a creatinine of 0.8 mg/dl in…
“A doctor, like a writer, must have a voice of his own, something that conveys the timbre, the rhythm, the diction, and the music of his humanity, that compensates us for all the speechless machines.” -Anatole BroyardIntoxicated by…
