ASN represents more than 21,000 kidney health professionals working to help people with kidney diseases and their families. Comprised of all of ASN's focus areas, the ASN Alliance for Kidney Health allows the society to continue its growth and work towards the goal of a world without kidney diseases.
The latest Nephrology Self-Assessment Program (nephSAP) issue, Volume 23: Issue 4 (Oct 2024): Chronic Kidney Disease is now available online.
RE: starting spironolactone when cystatin C based GFR 21 (cirrhosis) but creatinind based 41 37 minutes ago
There are many ways to approach this and it is very difficult from afar, but here are a couple things perhaps to consider: -an increase in Cr fro...
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RE: starting spironolactone when cystatin C based GFR 21 (cirrhosis) but creatinind based 41 1 hour ago
Sorry for the delay in reply. The last CAT scan of the abdomen and pelvis without contrast in May, 2023 found cirrhosis of liver did not find any a...
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Post operative Kidney transplant care 2 hours ago
Hi,hope everyone will be doing fine. I have a question regarding post operative kidney transplant care. I was recently involved in one case of ki...
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RE: Interference with 1,25 OH D Assay 3 hours ago
Thanks- it must not be a biotin related interference. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ---...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 3 hours ago
Agree with Dr. Venkat- severe proteinuria raises issue of MCD with AIN or even Collapsing FSGS, neither if which an be diagnosed without a KB, --...
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RE: Budenoside for IgA Nephropathy 4 hours ago
Amongst the approved meds Filspari and iotacopan clinical trial with anti April /baff agent ------------------------------ Arvind Madan MB...
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RE: Interference with 1,25 OH D Assay 5 hours ago
Dr Glassock, he has been in house whole time and has not been receiving anything other than prescribed medication. Dr Ticas, test was sent to US ...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 5 hours ago
Urinalysis: WBC > RBC, brings up consideration of AIN + MCD (given abrupt onset of severe nephrotic syndrome), as in NSAID-induced. Positive ANA, n...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 6 hours ago
Serum PlA2R antibodies ؟؟ Although sudden onset of her disease --------------------------------- Alaa Nabih Abdalla nephrology fellow Egypt -----...
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RE: Budenoside for IgA Nephropathy 10 hours ago
Good question, no good answers. Maybe Iptacopan or in the near future APRIL inhibitor or APRIL /BAFF inhibitor, stay tuned. ----------------...
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RE: Budenoside for IgA Nephropathy 10 hours ago
What is the best alternative to corticosteroid in patients with IgA nephropathy, particularly in patients with contraindications to corticosteroid?...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 11 hours ago
Agree with Dr. Glassock thoughts. What about serum LDH, WBC and platelet? Blood smear? Reticulocyte count? Acute severe anemia that necessate bloo...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 12 hours ago
Normal Complements , negative anti-dsDNA makes Class IV LN less likely. What is the anti-GBM antibody .- severe Fe deficiency might suggest occult ...
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RE: Normal Saline shortage 12 hours ago
Group,This is a case of 47 yo female who had left sided pelvic pain found to have prominent prominent left gonadal and paramterial veins with colla...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 13 hours ago
UA: 10/1/24 Yellow Turbid 1026 Bili - pH 6.5 Ub - Bld 2+ Glu. 30 Keton- Prot 600 Nitrit- LE 25 : Trace mucus, wbc35 rbc 25 sq ep 6 Bacteriae 2+ S...
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RE: ANA related NP? NPHS2 mutation ? Obesity related FSGS? 13 hours ago
Hydralazine, Allopurinol or Minoxidil therapy? What does a urinalysis show? What is the serum albumin level.? ------------------------------ Rich...
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ANA related NP? NPHS2 mutation ? Obesity related FSGS? 14 hours ago
ANA related NP? NPHS2 mutation ? Obesity related FSGS? Dear Community HELP ME find the diagnoses and treat her. 25 yo ww 470 lbs. m. Obesit...
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RE: Normal Saline shortage 15 hours ago
Hello Dr. Masud, There was a string on communities, started 6 days ago by Dr Casey Watkins. I have pasted it below, with my reply. Since these...
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RE: Interference with 1,25 OH D Assay 18 hours ago
Communication with your colleagues in charge of the clinical chemistry lab may be the best way to proceed. There are too many reasons for interfere...
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RE: Interference with 1,25 OH D Assay 19 hours ago
I have found elevated ACE a few times when the assay showed a relatively low 1,25 D I also agree that immobilization can cause hypercalcemia, esp...
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RE: Interference with 1,25 OH D Assay 22 hours ago
Biotin is not a prescription medication. Check over-the-counter use of vitamin supplements, just to be sure . ------------------------------ Rich...
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RE: Nephrology salary 22 hours ago
Dear Dr. Qayyum, Regarding the starting salaries reported by participating fellows, 4 indicated they were practicing hospital medicine (2 as int...
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RE: Normal Saline shortage 1 day ago
I cannot imagine why you couldn't use it, it is FDA approved for IV installation. IS there anything in it that would preclude using it as a prim...
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RE: Interference with 1,25 OH D Assay 1 day ago
I cannot tell you how often we see immobilization related hypercalcemia. Pt not on a thiazide? ------------------------------ Roger Rodby MD,...
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RE: Interference with 1,25 OH D Assay 1 day ago
Dr Glassock, I have gone back and checked medications and client is not on Biotin. Dr Sprague, would you recommend checking ACE level even if 1,2...
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RE: dsDNA + and GBM + 1 day ago
Dr. Cunha: C3, C4, ANA results? Kidney biopsy results (if done)? Current renal status? Thanks. ------------------------------ K.K. Venkat MD Troy...
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RE: Ig A Nephropathy In Pregnancy 1 day ago
This lady has nephrotic syndrome but has reached 29 weeks of pregnancy. With normal blood pressure i would think this is a podocytopathy possibly w...
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RE: Nephrology salary 1 day ago
https://www.floridasocietyofnephrology.com/page/Agenda2025 ------------------------------ Arvind Madan MBBS, MD Partner Central Florida Kidney Sp...
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RE: Nephrology salary 1 day ago
I am in group practice with 23 nephrologists let me start by saying that numbers that were being suggested here for are not realistic no neph...
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RE: Interference with 1,25 OH D Assay 1 day ago
I believe immobilisation itself can cause prolonged and persistent hypercalcemia. The appropriate reduction in PTH reflects that probably. But that...
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RE: Interference with 1,25 OH D Assay 1 day ago
Other than Biotin as mentioned by Prof Glassock, I am not sure of what else can interfere with the assay, but would repeat it. You may also want to...
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RE: Nephrology salary 1 day ago
Thanks Dr. Mellas. My joy of being a Nephrologist grows each day as I see the great science, the dedication to excellence in medical care and the c...
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RE: Nephrology salary 1 day ago
The overhead is quite variable depending on the size, and type of Group, and who is managing the practice. In an academic center it is difficult...
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RE: Nephrology salary 1 day ago
Thank you for your insight. I wonder if the income reported by nephrologists is purely nephrology or includes hospitalist shift. In some cities, ...
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RE: Ig A Nephropathy In Pregnancy 1 day ago
Dr. Mahmoud: Regarding your question whether has progression of IgA nephropathy vs superimposed toxemia as explanation fot increased proteinuria, y...
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Normal Saline shortage 1 day ago
I would like to know how other centers affected and are making adjustments to the nationwide saline shortage? Has anyone switched to priming CRRT (...
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RE: Renal Artery stenosis 1 day ago
Dr. Mamoon Rasheed: in your patient, are there collaterals bypassing the 90% RAS in left kidney? ------------------------------ K.K. Venkat MD Tr...
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RE: Nephrology salary 1 day ago
Dr. Mellas. Interesting analysis. Is a 30% overhead a derived mean from large group practices. It was much higher years ago when I was involved wit...
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RE: Interference with 1,25 OH D Assay 1 day ago
Biotin (a vitamin commonly included in supplement preparations)can interfere with chemiluminescence assays ,(but not chromatographic assays) for 1,...
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Interference with 1,25 OH D Assay 1 day ago
I have an elderly bedbound client that has moderate Hypercalcemia. PTH is depressed below detection limit, 25 OH D is 27 (30-80), PTHrP is below no...
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RE: Nephrology salary 2 days ago
Dear Dr. Qayyum: Thank you for raising this important issue. Starting compensation for fellows entering their first post-fellowship position an...
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RE: Renal Artery stenosis 2 days ago
No consensus as is typical with these complicated cases. I would assume that the atrophic kidney has negligible function. Stenting of the stenosed ...
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RE: Nephrology salary 2 days ago
With the following patient load/titles a nephrologist's gross annual income would exceed $575,000. With a 30% overhead that would leave $400,000 an...
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RE: Ig A Nephropathy In Pregnancy 2 days ago
Bp 130/80 Sugar controlled on Lantaus /actarapid obstetrics assessment for fetal development/viability and toxemia? I am not know more about that...
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RE: Ig A Nephropathy In Pregnancy 2 days ago
To make further recommendations, we need to know BP, high-risk obstetrics assessment for fetal development/viability and toxemia, status of steroid...
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RE: Memb gn with diabetic nephropathy 2 days ago
Thank you for your response. this is the current proposed plan No rituxan, taper off steroids continue AC with Coumadin until patient is nep...
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RE: Ig A Nephropathy In Pregnancy 2 days ago
Thank you dr.Venkat So this patient no needed to increase steroid again --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH...
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RE: Ig A Nephropathy In Pregnancy 2 days ago
Glad she has reached 29 weeks of gestation. Current BP and maternal-fetal team's assessment of fetal development and viability? Hopefully, she can ...
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RE: Ig A Nephropathy In Pregnancy 2 days ago
This patient 29 w, Proteinuria 24 h 6 gm , Albumine 26 , cr stable predinslone 5 mg Any suggestions?? --------------------------------- Mohamed M...
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RE: EuroLupus Protocol in patient with eGFR 20 2 days ago
Does anyone still use the older NIH high dose IV CYC regimen for LN anymore.. If so, for what reason?i ------------------------------ Richard Gla...
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