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Nathan Hellman

Why Do U.S. ESRD Patients Do So Poorly?

The Dialysis Outcomes and Practice Patterns Study (DOPPS) is an important longitudinal study of ESRD patients in multiple countries, and is the source of much respected epidemiologic data on dialysis patients worldwide. Interestingly, the DOPPS estimated the crude…

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Nephrology Pearls Courtesy of Hippocrates

A cool article from this month’s AJKD describes several of the Nephrology-related aphorisms originally penned by Hippocrates sometime around 400 BCE. These brief, pithy sayings probably represent the earliest attempts to understand the kidney in health and disease…

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Utility of Testing For Eosinophiluria

Testing for the presence of urine eosinophils is often performed when the diagnosis of acute interstitial nephritis is suspected.  The landmark paper touting the use of this test is a 1986 New England Journal of Medicine article by…

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The Acanthocyte

We’re all taught that looking for dysmorphic red blood cells on urinalysis is a useful marker of glomerular hematuria.  But how do we define “dysmorphic”?  And how was this association originally studied?  One landmark paper was this 1991…

Urine Crystals: Pattern Recognition

One of the easier aspects to taking an examination like the boards is pattern recognition: there are certain images or associations that should be immediate triggers for a particular diagnosis. One good example of this is a knowledge…

Propofol Infusion Syndrome

Though rare, propofol infusion syndrome (PRIS) is a cause of acute kidney injury in the appropriate ICU setting. As we all know, propofol is an intravenous sedative currently favored in the ICU due to relatively short half-life and…

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