RE: Clinical Practice Questions 4 hours 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 7 hours 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 8 hours 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 15 hours 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 17 hours 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 21 hours 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 21 hours ago

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

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RE: Encapsulating peritoneal sclerosis 22 hours 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 22 hours 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 22 hours 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 1 day 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 1 day 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 1 day ago

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

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RE: Encapsulating peritoneal sclerosis 1 day 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 1 day 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 2 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 2 days ago

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 2 days ago

Thank you for your email.It was helpful.RegardsKrishna

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RE: Question about Hepatitis B Isolation s/p Liver Transplant 2 days ago

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 2 days ago

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 2 days ago

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 2 days ago

"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 2 days ago

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 2 days ago

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 2 days ago

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 2 days ago

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 2 days ago

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 2 days ago

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 2 days ago

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 3 days ago

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 3 days ago

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 3 days ago

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 3 days ago

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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RE: Re: variation in GFR measurements Monday, December 16 @ 4:39 PM

The Gates method for estimating GFR by nuclear scan can be associated with major errors in patients low or high BMi - not recommended. I would rele...

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RE: Re: variation in GFR measurements Monday, December 16 @ 4:26 PM

Was the DTPA GFR based on plasma disappearance ? ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 --------...

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RE: Re: variation in GFR measurements Monday, December 16 @ 4:05 PM

Thank you Dr Glassock Nuclear scan was done approximately 3 months after starting Jardiance. Since Flozins decrease GFR, is it possible that her ...

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RE: Re: variation in GFR measurements Monday, December 16 @ 3:50 PM

CKD-EPI creat is known to seriously overestimate GFR in adolescents and young adults. The low BMI (low muscle mass) may be another factor. The DTPA...

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RE: Haemodialysis patient with high calcium and low Po4 Monday, December 16 @ 3:42 PM

Dr. Aledan- Great suggestion!!!. Do we have an serum FLC and bone survey in this patient? ------------------------------ Richard Glassock MD, ...

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RE: active PR3 -AAV with pulmorenal involvment during the first trimaster of pregnancy Monday, December 16 @ 3:37 PM

Very good point. The transplacental transfer of IgG1 is negligible until about 13 weeks of gestation. Rituximab may be very safe in the first trime...

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RE: Haemodialysis patient with high calcium and low Po4 Monday, December 16 @ 3:07 PM

Laboratory interference of monoclonal immunoglobulins with phosphomolybdate colorimteric measurements of serum phosphorus is another cause of pseud...

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Re: variation in GFR measurements Monday, December 16 @ 2:37 PM

Hi all, Good afternoon. I am sharing details about a patient that I have seen in clinic recently for CKD Female in high teens- transferred from...

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RE: Appreciate Input in this case ESP Monday, December 16 @ 2:20 PM

have the surgeon talked to pictures of the peritoneum my cases the peritoneum was NOT normal looking , very beefy, no sclerosis per se but we...

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RE: Appreciate Input in this case ESP Monday, December 16 @ 1:51 PM

Such a strange story. Just to clarify, the paracenteses were bloody taps, not necessarily that the PD fluid itself was bloody? (implied not by CT...

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