RE: Access Issue With Recurrent Bactaeremia 8 hours ago

was there a "line holiday" between lines? "He has agreed to have line out 5 days post admission and is on iv flucoxacillin." looks like yes but I a...

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Access Issue With Recurrent Bactaeremia 14 hours ago

Hi everyone , I have slightly challenging case in terms of vascular access and recurrent s aureus bactaeremia. 34 male previous failed transplant ...

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RE: Renal Artery Stenosis Case 14 hours ago

I will find out about nsaid No Doppler but ct Angio Bw --------------------------------- Muhammad Soobadar MBChB UK -----------------------------...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 16 hours ago

Anass: 4 qstns: 1. how many Hrs of HD each time plz? Lengthening the time may be very helpful2. Is potential improvement in compliance entirely dep...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 18 hours ago

The BP was initially controlled then rose again. Reminds me of a case I had of a patient whose BP was controlled after surgical renal sympathecto...

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RE: igan nephropathy 18 hours ago

AKI with gross hematuria following an URI in IgAN has been repeatedly described in the literature since the early 1980's. Most cases will spontaneo...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 19 hours ago

According to your records, on 12/03/2023 and on 27/03/2023 the patient underwent embolization of the left kidney. What was the indication for embol...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 20 hours ago

A few comments; a 20 yo female with ESKD with psychological/financial issues raises the question of medication compliance. Quite difficult for such...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 20 hours ago

The main cause of HTN in majority of cases in dialysis patients is excesses of total of body water (TBW) and excesses of total body Na (Removing th...

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RE: Mulytidrug resistant Nephrotic syndrome 21 hours ago

Great comment. Gave you seen favorable responses ro Obi in patients with secondary (late) treatment unresponsive NS and FSGS lesions ? ----------...

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igan nephropathy 21 hours ago

Good morning, I saw a 18 y/o Male who presented to hospital with chief complaint of gross hematuria and Acute kidney Injury (creatinine up to 2 ...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 21 hours ago

Has anyone studied the effects of renal denervation in a dialysis patient with resistant hypertension after bilateral renal embolization.? I cant f...

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RE: Mulytidrug resistant Nephrotic syndrome 21 hours ago

We have had excellent response to IV Obinutuzumab. Recently presented our data at ASN meeting. ------------------------------ Isabel Roberti MD, ...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 22 hours ago

I had experience of one such patient where the BMI was low. All efforts to control hypertension failed Finally Bioimpedence suggested volume ove...

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RE: AKI with IGA Nephropathy 23 hours ago

Wonder if gross hematuria and tubular obstruction by RBCs may beplaying a role (a la, warfarin nephropathy). Gross hematuria without warfarin/high ...

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RE: Podocyte Talk - weekly nephrology audio summary 1 day ago

Thank you for this explanation. Good lick with your project. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago

thank you professor for your reply ------------------------------ Anass Qasem Fellow Ibrahim Bin Hamad Hospital ------------------------------

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RE: Podocyte Talk - weekly nephrology audio summary 1 day ago

This a YouTube channel dedicated for nephrology updates on weekly basis. I will publish an audio summary of recent article in nephrology. Duration ...

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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago

Difficult case. I assume that the patient has been rendered functionally anephric by the bilateral renal artery embolization procedure. If so, the ...

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RE: Podocyte Talk - weekly nephrology audio summary 1 day ago

Please inform us if this "Chat Room" will be commercially sponsored and will it be accompanied by advertisements for commercial products,? Who will...

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resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago

A 20 years old female patient, Known case of ESRD on regular hemodialysis admitted on due to uncontrolled hypertension. The first visit of the p...

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Podocyte Talk - weekly nephrology audio summary 1 day ago

I would like to get your feedback on this initiative Podocyte talk **Welcome to Podocyte Talk** we will cover a wide range of topics, includin...

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RE: preoperative hyponatremia 1 day ago

Dear Dr. Sinasi, Thank you for your valuable input. My approach to managing these cases is as follows: For elective surgeries, I would wai...

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RE: Re: pt with resistant HTN 1 day ago

Dr. Glassock, yes, I was referring to the combination beta-blockers and clonidine tabs. This combination should be discouraged. A different story...

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RE: preoperative hyponatremia 1 day ago

Now, what to do? STOP ACEi/ARB - they favor hyponatremia STOP NSAIDs - they block the way recovering medullary / tubular diluting capacity ST...

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RE: Re: pt with resistant HTN 1 day ago

Dr. Campese - Are you referring to the problem with Clonidine-Beta Blocker combinations or to anti-hypertensive therapy, in general. Do you ad...

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RE: Re: pt with resistant HTN 1 day ago

Patients who participate to studies tend to be more compliant than the general population. The problem occurs primarily among patients who take me...

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RE: Discrepancy in the Albuminuria in the Setting of Type 1 Diabetes Mellitus 1 day ago

The patient has Schmidt syndrome or polyglandular insufficiency Type 2B. And might be at lower risk of developing Diabetic Nephropathy. A kidn...

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RE: Re: pt with resistant HTN 1 day ago

Having Clonidine on board when beta -blockers are concomitantly used is "bad" because if Clonidine is stopped, the Clonidine withdrawal syndrome in...

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RE: Mulytidrug resistant Nephrotic syndrome 1 day ago

One uses the same columns that are used for LDL Apheresis in treatment of Homozygous Familial Hypercholesterlemia.The problem with using concentrat...

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RE: Re: pt with resistant HTN 1 day ago

"Clonidine + Metoprolol is a bad combination. We have discussed this many times." Would appreciate if you can provide some references? -------...

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RE: preoperative hyponatremia 1 day ago

Thank you sir ------------------------------ Ahmed Abdelfattah MD, MBChB, MSc Assistant professor (Internal medicine hospital ALHUSSIEN CAIRO --...

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RE: preoperative hyponatremia 1 day ago

There are numerous studies that have established that even mild hyponatremia is an independent risk factor for morbidity and mortality in many cond...

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RE: preoperative hyponatremia 1 day ago

Dear Dr Keith My. impression is that this association of hyponatremia with post-operative complications is related to the original disease burden...

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RE: preoperative hyponatremia 1 day ago

We identified 32 observational studies comprising 1 301 346 participants. All studies had low risk of bias. When adjusted for covariates, patients ...

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RE: Mulytidrug resistant Nephrotic syndrome 1 day ago

Thanks for the inputs Can anyone suggest options of columns for LDL Apharesis, I am not sure which one we can get in India. If any inputs on opt...

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RE: preoperative hyponatremia 1 day ago

Thanks, Dr Richard, for your valuable time sharing your knowledge ------------------------------ Ahmed Abdelfattah MD, MBChB, MSc Assistant prof...

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RE: preoperative hyponatremia 1 day ago

Thanks, Prof. Rody, for being very helpful ------------------------------ Ahmed Abdelfattah MD, MBChB, MSc Assistant professor (Internal medicin...

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RE: preoperative hyponatremia 1 day ago

Thank you for your valuable contribution ------------------------------ Ahmed Abdelfattah MD, MBChB, MSc Assistant professor (Internal medicine ...

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Discrepancy in the Albuminuria in the Setting of Type 1 Diabetes Mellitus 1 day ago

I have a 19-year-old male patient with a history of Type 1 Diabetes Mellitus diagnosed in May 2020, when he was found to have an A1c level of 13, a...

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RE: Mulytidrug resistant Nephrotic syndrome 1 day ago

I agree with Dr. Rodby - PLEX + Obinutuzumab or LDL Apheresis is the way to go. I would favor the latter, but not on the basis of evidence . A gene...

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RE: preoperative hyponatremia 1 day ago

As far as I am aware, there are no published consensus (opinion or evidence-based ) guidelines for the situation you describe. A 'common-sense" app...

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AKI with IGA Nephropathy 1 day ago

Good morning, I saw a 18 y/o Male who presented to hospital with chief complaint of gross hematuria and Acute kidney Injury (creatinine up to 2 ...

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RE: preoperative hyponatremia 1 day ago

Is there a safe level of chronic asymptomatic hyponatremia to proceed with surgery? I am unaware of any guidelines on that but I would think > 13...

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RE: Mulytidrug resistant Nephrotic syndrome 1 day ago

1. Should I restart Tacrolimus and Coversyl again or it was working then stopped? I assume compliance? 2. Consider: Obinutuzumab, Plasma Exchan...

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RE: Re: pt with resistant HTN 2 days ago

Thank you all for the valuable suggestions. I am working on them and will keep the group posted Appreciate your advice Best regards, S...

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RE: Renal Artery Stenosis Case 2 days ago

Has Doppler ultrasonography been performed? Body habitus and radiology expertise-permitting, serial peak systolic velocity in the graft supplying t...

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Mulytidrug resistant Nephrotic syndrome 2 days ago

Good evening,I have a 8 year boy,Nephrotic syndrome : Onset at age 3.5 yrsInitially Steroid sensitive, and steroid dependent for few years, was man...

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RE: Renal Artery Stenosis Case 2 days ago

Over a period of 22 years there is no progression of the renal artery stenosis. 50% then and now. I would be inclined to leave it alone and follow ...

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RE: Renal Artery Stenosis Case 2 days ago

This patient does not likely have atherosclerotic RAS, with an onset at around age 20 and female sex. Fibromuscular dysplasia (FMD)would be a much ...

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