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Nathan Hellman

Re-Evaluating the Ca x P Product

Heard an excellent presentation at our Renal Grand Rounds today by Dr. Charles O’Neill of Emory University, regarding the process of pathologic calcification in CKD/ESRD patients. One of the points I took away from this talk is that…

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Secondary AV Fistulas

Since I’m presently trying to make it through the most recent ish of NephSAP–their first-ever issue of “Interventional Nephrology”–I’ll do another access-related post. A “secondary AV fistula” refers to a fistula created after a pre-existing graft or fistula…

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Osmotic Nephrosis

“Osmotic nephrosis” is a term which describes a common form of renal tubular injury in response to hyperosmolar substances. It is especially relevant to iv contrast nephropathy, and was first observed in animals and human patients infused with…

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Malpractice

Scary article–from both a patient care perspective as well as from a medicolegal perspective–which will make you think about always checking that potassium level before making a decision about skipping dialysis…”Young Mother Dies After Missing Dialysis Treatment“. In…

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Lyme Nephritis??

I included two question marks in the title, since the existence of Lyme Nephritis remains controversial.  However, somebody presented a case of alleged Lyme Nephritis in a recent Renal Grand Rounds which was interesting. In brief, the case…

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Calcium Phosphate Stones

Calcium phosphate stones are actually pretty rare. While calcium oxalate stones comprise about 80% of all instances of nephrolithiasis, calcium phosphate stones typically occur only in a small subset of patients–about 5 to 10% of patients according to…

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