RE: ATI, Anuria post kidney transplant 9 minutes ago

Our patient is currently on plasma exchange with significant reduction in Proteinuria Last UACR 1300 mg Will measure UPCR and UACR simultaneousl...

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RE: Hematuria in 14 years old 2 hours ago

I would do a kidney biopsy. The likely diagnosis is IgA Vasculitis . ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (9...

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Hematuria in 14 years old 3 hours ago

14 years old male patient ( with normal birth weight) free medical history presented with history of episode macroscopic Hematuria 2 months ag...

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RE: Measurement of Electrolytes 12 hours ago

Thanks ------------------------------ Brian Cronin MD, FASN Hypertension Nephrology Associates, P.C. Huntingdon Valley PA (215) 947-4533 --------...

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RE: Measurement of Electrolytes 12 hours ago

Hi, In my experience the difference (particularly in sodium) often is clinically important, this past week I observed a sodium of 123 on the bloo...

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RE: Measurement of Electrolytes 14 hours ago

If I ran the same specimen three times with the same machine I suspect we would see 3 different values. Are these differences we see between diff...

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RE: Measurement of Electrolytes 17 hours ago

Perhaps this bias is simply the result of the 2 analytic platforms being poorly calibrated to each other. Assuming good calibration, a common cause...

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RE: Measurement of Electrolytes 22 hours ago

I think we need both methods of measurement as BGAs are helpful in critical care setting for rapid decisions and treatment of life-threatening elec...

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RE: Measurement of Electrolytes 1 day ago

This phenomenon is well described - electrolyte values from blood gas specimens can be determined rapidly but caution should be used in interpretin...

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Measurement of Electrolytes 1 day ago

My anecdotal observation at the hospital I work is that the sodium runs lower and potassium higher on blood gas (whole blood) measurements than che...

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RE: Clinical Practice Questions 2 days ago

Dr. Venkat. Many thanks. Very clear answer. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ------------...

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RE: Clinical Practice Questions 2 days ago

CMV interstitial nephritis is usually diagnosed by demonstration of characteristic CMV inclusions in tubular epithelial cells and/or interstitial i...

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RE: Clot/ Debris In Right Jugular Vein 2 days ago

Yes definitely looks like a clot. Anecdotally, from having placed and replaced many tunneled lines, I think this is fairly common and can be attrib...

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RE: Clinical Practice Questions 2 days ago

Dr. Venkat - given the findings in the transplant kidney biopsy by LM, (largely foci of tubulitis) do you believe that a DNA hybridization examinat...

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RE: ATI, Anuria post kidney transplant 2 days ago

Dr. Emara: Can you please provide another update on your patient? Did you check UPr/Cr and UAlb/Cr or urine protein electrophoresis? Further treatm...

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RE: Clinical Practice Questions 2 days ago

Biopsy shows ATN and IFTA. No evidence of antibody-mediated rejection. "Borderline TCMR" findings may be from ATN and chronic IFTA and may not be f...

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Florida society of nephrology annual meeting 2 days ago

https://www.floridasocietyofnephrology.com/page/Agenda2025 I am the president of this organization currently .Please take a look at the agenda an...

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RE: Encapsulating peritoneal sclerosis 2 days ago

Thanks for more information It looks like you may have caught this early on the scale of the natural history of EPS. But I would still be aggre...

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RE: Clot/ Debris In Right Jugular Vein 2 days ago

@Monnie Wasse ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Nephrology Associates Chicago IL (773) 50...

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RE: Clot/ Debris In Right Jugular Vein 2 days ago

Pleasure prof glassock Merry Christmas and happy new year to you and everyone on here Best wishes --------------------------------- Muhammad S...

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RE: Clot/ Debris In Right Jugular Vein 3 days ago

Thanks for the photo and folllw-up. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ---------------------...

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RE: Clot/ Debris In Right Jugular Vein 3 days ago

photos attached finally . He had clot in left jugular vein. we did a tunnelled dialysis catheter on left side. we requested thrombophilia screen an...

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RE: Clinical Practice Questions 3 days ago

biopsy screenshots thanks ------------------------------ Muhammad Soobadar MBChB UK ------------------------------ Files Attached Do...

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RE: Encapsulating peritoneal sclerosis 3 days ago

thank you for your responses. the pt is a 50 yo man with diabetes, HTN, hyperlipidemia with ESRD. he was on PD for 2 years but had issues with no...

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RE: Encapsulating peritoneal sclerosis 3 days ago

EPS is like what Primary Systemic Amyloidosis was 2 decades ago. Look what happened. We may have to resort to desperate remedies of very uncertain ...

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RE: Encapsulating peritoneal sclerosis 3 days ago

How long was he on PD? How was this diagnosed and by what parameter is he improving? what prednisone dose are you considering? I would add a...

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RE: Encapsulating peritoneal sclerosis Wednesday, December 18 @ 9:03 PM

I have no idea how to answer your questions. Is any data available that would help? This is an area of known unknowns. --------------------------...

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RE: Curious about Anti Nephrin Antibody commercial availability Wednesday, December 18 @ 8:34 PM

Thank you for your email.It was helpful.RegardsKrishna

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 7:17 PM

Dr. Rodby- you may be right about the perceptions of regulators. The point is that HBV infections are very very difficult to cure- if this is even ...

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RE: Curious about Anti Nephrin Antibody commercial availability Wednesday, December 18 @ 7:12 PM

Development of a (quantitative ) commercial assay for serum anti-Nephrin antibodies is going to be a lot more difficult than we experienced with an...

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RE: Curious about Anti Nephrin Antibody commercial availability Wednesday, December 18 @ 6:16 PM

I assume you meant blood? I believe that Dr Glassock is speaking only for tissue IF. And anti-nephrin Abs for MCD is not close to the utility ...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 5:56 PM

"With absence of DNA and if antiHbs is positive there is a very low chance of infection spread and it may be safe to dialyze in the main unit with ...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 3:49 PM

Excellent discussion. Thank you for all your help. I am checking a DNA PCR and awaiting those results before deciding on Isolation. I did consult w...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 1:36 PM

This patient had a hepatitis B infection in the past and has now lost the HBsAg status. This could be due to, as already pointed out, a precore mut...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 9:13 AM

Is your patient on prophylactic anti-HBV therapy? ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 -------...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 9:08 AM

You may consider discussing the matter with the superb ID and hepatologists in the bay area. ------------------------------ Mario Rubin, M.D. Ho...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 8:54 AM

Thank you all for your comments. ------------------------------ David Pai MD, FASN Capital Nephrology Medical Group Sacramento CA (916) 647-7231...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 8:39 AM

suggest HbeAg, and HBeAb along with HBV DNA PCR. If he has high viral loads he should be on lifelong antivirals eg entecavir. The recommendations w...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Wednesday, December 18 @ 8:07 AM

IMO DNA and simultaneous serology should be performed ------------------------------ Arvind Madan MBBS, MD Partner Central Florida Kidney Spe...

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RE: Curious about Anti Nephrin Antibody commercial availability Wednesday, December 18 @ 1:11 AM

Commercial availability of anti-nephrin antibody tests will likely vary by country and by regulatory authority. It is not an easy assay to develop ...

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Curious about Anti Nephrin Antibody commercial availability Tuesday, December 17 @ 11:16 PM

Hi, I am curious about what could be the time line for commercial availability of the Anti Nephrin antibody level detection by ELISA for use in C...

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RE: Question about Hepatitis B Isolation s/p Liver Transplant Tuesday, December 17 @ 3:25 PM

Mutant HBs ag may escape detection in conventional assays , despite positive HBV-DNA . While uncommon. i think that this patient should be tested f...

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Question about Hepatitis B Isolation s/p Liver Transplant Tuesday, December 17 @ 12:03 PM

General Question for the group. I have a patient that wants to come to my dialysis clinic. Patient is s/p Orthotopic Liver Transplant and developed...

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RE: active PR3 -AAV with pulmorenal involvment during the first trimaster of pregnancy Monday, December 16 @ 11:39 PM

Very interesting thank you all for your valued input and fruitful discussion, will give you an update ------------------------------ Saja Mohammed...

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RE: active PR3 -AAV with pulmorenal involvment during the first trimaster of pregnancy Monday, December 16 @ 11:35 PM

Good morning Kidney biopsy in our institute usually done by IR and the indication is justified in her case Thank you ---------------...

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RE: Appreciate Input in this case ESP Monday, December 16 @ 10:57 PM

She has permacath. Complete Metabolic Panel - TP 6.1 and albumin 2.9 Ascites fluid albumin 1.6 Ascites fluid protein 3.2 Ascites fluid gluc...

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RE: Treatment of Membranous glomerulonephritis - clinically low risk with renal biopsy showing advanced chronicity Monday, December 16 @ 7:44 PM

Thank you, Dr Glassock . ------------------------------ Rochak Varma MD Oro Valley AZ (917) 459-0750 ------------------------------

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RE: Appreciate Input in this case ESP Monday, December 16 @ 5:32 PM

Can you provide ascitic fluid albumin + protein & serum albumin values? Odd though that reports show EPS ascites to be either low SAAG which is w...

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RE: Re: variation in GFR measurements Monday, December 16 @ 5:03 PM

This is good to know, thank you Dr Glassock ------------------------------ [Sriram] [Sriperumbuduri] [MBBS FASN] [Assistant Professor in Nephrolo...

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RE: Re: variation in GFR measurements Monday, December 16 @ 5:03 PM

yes, it is ------------------------------ [Sriram] [Sriperumbuduri] [MBBS FASN] [Assistant Professor in Nephrology] [Virginia Commonwealth Unive...

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