We can expect standardized exams to contain some of the same questions every year. Certain disorders have pathophysiology that seamlessly transitions from basic science to clinical presentation. Others have such striking radiographic imaging that they inevitably end up…
As a resident, I received one of the most enduring pieces of advice from a friend who had recently sat through the American Board of Internal Medicine (ABIM) Nephrology Board examination. “You’re already late to study for it,…
From Gomerblog http://gomerblog.com/2014/05/medical-specialty The multiple-choice question (MCQ) is the workhorse of medical education. All of the major testing stakeholders (National Board of Medical Examiners, American Board of Medical Specialties, etc.) use MCQs to make major promotion and licensing…
This was an interesting case. A woman with a previous history of hyperparathyroidism and multiple neck surgeries who developed severe, symptomatic hypocalcemia 3 hours following a parathyroidectomy was thought to have failed because of a persistently elevated PTH…
A 36yr old woman with a history of PCKD was referred for surgical treatment of hyperparathyroidism. She had a history of two prior failed kidney transplants following which she had been on dialysis for more than 10 years….
This was an interesting case and all those who responded correctly identified that the patient had bowel pathology. However, only one person figured out that the issue was an ileostomy. This patient had a low urine volume and…
A 65yo man was reviewed in the clinic for assessment of kidney stones. He has a history of stones for at least 8 years and has been passing small calculi on a regular basis for the last few…
1) Surreptitious vomiting or diuretic abuse – metabolic alkalosis, Laxative abuse – non-gap metabolic acidosis. 2) Aquaporin 2 – apical membrane of collecting duct, Aquaporins 3 and 4 – basolateral membrane of collecting duct, Aquaporin 1 – proximal tubule….
1) In diabetic glomerular disease you can see linear staining of GBMs with IgG, Kappa and Lambda. 2) The three C3 immunoflourescence patterns of post strep GN 1) Starry Sky (most common) 2) Garland (less common) 3) Mesangial (resolving Starry…
1) Icodextrin sometimes causes a desquamating rash on the palms and soles. 2) Sirolimus, five side effects to watch 1) Poor wound healing 2) Lung toxicity 3) Hyperlipidemia 4) Proteinuria 5) Anemia/Thrombocytopenia. 3) Classic EM finding in post infectious GN: Large…
