Renal Biopsy Post Plex 4 minutes ago

Is there any increased risk of bleeding in patient undergoing renal biopsy after plasma exchange with octoplas? Thanks

View Discussion

PGNMID 19 minutes ago

Hello all, I would appreciate your thoughts on this patient. 31 year old female patient initially presented in 2019 with hematuria sub-nephrotic...

View Discussion

RE: Teriflunomide / Leflunomide TDM 20 minutes ago

Interesting question. How strong is the evidence that any kind of TDM for teriflunomide or leflunomide improves outcome in RA or kidney disease. So...

View Discussion

Teriflunomide / Leflunomide TDM 49 minutes ago

Hi all, Can I please get your insight and experience with teriflunomide / leflunomide TDM? So far I have gathered that the sample taken needed ...

View Discussion

RE: KFRE 2 hours ago

What is his eGFR and urine albumin now?When was the uninephrectomy performed? Do you happen to know his birthweight ? ---------------------------...

View Discussion

RE: Access Issue With Recurrent Bactaeremia 4 hours ago

I assume endocarditis has been looked for with a TEE. Ifyou are concerned about eptic thrombophlebitis as the source of recurrent Staph. aureus bac...

View Discussion

RE: KFRE 5 hours ago

Thanks prof glassock. This patient had renal cell cancer and right nephrectomy . --------------------------------- Muhammad Soobadar MBChB UK --...

View Discussion

RE: KFRE 5 hours ago

I do not think that this question has been studied, but I suspect that it would give an underestimate of true risk, but it would all depend on the ...

View Discussion

RE: Access Issue With Recurrent Bactaeremia 7 hours ago

If his cultures are currently negative you should proceed with fistula and make him take good care of it. History generally repeats itself and he i...

View Discussion

RE: Apply today!! Travel Support Scholarship for Nephrology Fellows to attend Annual Dialysis Conference, Las Vegas 2025. 8 hours ago

Hello ! In the attachment is my Case regarding complexities of managing dialysis in patients with mental health challenges and the unique int...

View Discussion

RE: Access Issue With Recurrent Bactaeremia 8 hours ago

Yes there was a line holiday before new tunnelled line was inserted . Blood cultures were negative before new line went in. Patient refuses to hav...

View Discussion

KFRE 8 hours ago

Is KFRE equation valid in patients with single kidney ? Bw

View Discussion

RE: Access Issue With Recurrent Bactaeremia 18 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...

View Discussion

Access Issue With Recurrent Bactaeremia 1 day ago

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

View Discussion

RE: Renal Artery Stenosis Case 1 day ago

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

View Discussion

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

View Discussion

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

View Discussion

RE: igan nephropathy 1 day 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...

View Discussion

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

View Discussion

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

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

View Discussion

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

View Discussion

RE: Mulytidrug resistant Nephrotic syndrome 1 day ago

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

View Discussion

igan 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 ...

View Discussion

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

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

View Discussion

RE: Mulytidrug resistant Nephrotic syndrome 1 day ago

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

View Discussion

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

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

View Discussion

RE: AKI with IGA Nephropathy 1 day ago

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

View Discussion

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...

View Discussion

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 ------------------------------

View Discussion

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 ...

View Discussion

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 ...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

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...

View Discussion

RE: Re: pt with resistant HTN 2 days ago

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

View Discussion

RE: preoperative hyponatremia 2 days ago

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

View Discussion

RE: preoperative hyponatremia 2 days ago

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

View Discussion

RE: preoperative hyponatremia 2 days ago

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

View Discussion

RE: preoperative hyponatremia 2 days ago

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

View Discussion

RE: Mulytidrug resistant Nephrotic syndrome 2 days 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...

View Discussion

RE: preoperative hyponatremia 2 days ago

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

View Discussion

RE: preoperative hyponatremia 2 days ago

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

View Discussion