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 3 (Aug 2024): Acute Kidney Injury and Critical Care Nephrology is now available online.
RE: case of hypokalemia and hypomagnesemia 5 hours ago
Hypertension, hypokalemia, hypomagnesemia , low PRA and aldosterone suggests pseudo-hyperaldosteronism and the family history suggests a genetic ca...
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RE: AL Amyloid & Serologic tests 8 hours ago
This patient has typical AL Amyloidosis (lambda LC type ) according to kidney biopsy, with no signs of a superimposed LN or ANCA Vasculitis. The se...
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RE: AL Amyloid & Serologic tests 9 hours ago
rom my experience , we had 2 patients like this. One even had cryoglobulins, the disease deteriorate including developing ESKD despite any treatmen...
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RE: AL Amyloid & Serologic tests 9 hours ago
This is "positive interference". I do not think that monoclonal proteins in Amyloidosis have this property. ------------------------------ Richar...
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RE: Metabolic alkalosis 9 hours ago
Maybe you are correct and the is all extra-renal K depletion (stool losses) . The high urine chloride and tge very suppress Aldo and PRA is a puzzl...
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RE: Metabolic alkalosis 10 hours ago
Thank you Drs. Glassock and Saidi for your helpful responses. Ashwagandha-KSM, Nature's Bounty anxiety and stress. I reviewed the bottle, no men...
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RE: Metabolic alkalosis 11 hours ago
Thanks. Does the ashwagandgax preparation contain glycyrrhiza gabra root? The spot urine collections for electrolytes can be misleading if the urin...
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RE: Metabolic alkalosis 11 hours ago
The alkalosis is not well explained with diarrhea but the K loss could be GI related since urine K loss not impressive? The hypokalemia causes th...
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RE: Metabolic alkalosis 12 hours ago
No black licorice. Only ashwagandha supplements. ------------------------------ Anjana Easwar MBBS Prospect KY ------------------------------
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RE: Metabolic alkalosis 12 hours ago
Any chance the patient is consuming excess quantities of black licorice. This looks like pseudohyperaldosteronism. ------------------------------...
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case of hypokalemia and hypomagnesemia 12 hours ago
I saw a 43-year-old lady in the clinic who was found to have severe hypomagnesemia and hypokalemia during her last 2 hospital stays in combination ...
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RE: AL Amyloid & Serologic tests 12 hours ago
Consider Balkan Nephropathy . ------------------------------ Mowaffaq ------------------------------
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RE: Budenoside for IgA Nephropathy 12 hours ago
Understood. Oral moderate dose prednisone would be my choice. Other opinions welcome. ------------------------------ Richard Glassock MD, FASN La...
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Metabolic alkalosis 13 hours ago
65 year old female patient with severe chronic hypokalemia and metabolic alkalosis. presented with muscle cramps and weakness. Has had similar com...
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RE: Managing large nephrology inpatient list 14 hours ago
Sorry forgot to answer on other questions prioritize list for ICU pt first then those whose labs are worse or clinically worse then others and m...
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RE: Managing large nephrology inpatient list 15 hours ago
I am in private practice in a group with 22 nephrologists and 8 mid level providers to answer your queries 1. If two of us are not in agreement we...
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RE: AL Amyloid & Serologic tests 15 hours ago
Not to the best of my knowledge has she been exposed to other meds; or to street drugs. Has the AL protein even been found to have the capability t...
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RE: Budenoside for IgA Nephropathy 16 hours ago
Dr Glassock it was a general query regrading its use in patients who have an indication but cost is prohibitive. ------------------------------ A...
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RE: AL Amyloid & Serologic tests 17 hours ago
"very mild proteinuria .............. repeat urinalysis unremarkable" Unless the minimal proteinuria is from lisinopril (+ ibuprofen), preglomeru...
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RE: AL Amyloid & Serologic tests 1 day ago
Is it possible that the patient might have taken hydralazine in the recent past?. Prazosin has be associated with development of FANA, in some but ...
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RE: AL Amyloid & Serologic tests 1 day ago
Prazosin, lisinopril, ibuprofen, citalopram ------------------------------ Prem Chandran MD Adj Clinical Professor, Univ of Iowa Associates In Ki...
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RE: Budenoside for IgA Nephropathy 1 day ago
Does the patient have persistent moderate or severe hematuria and or a kidney biopsy showing active inflammatory lesions? . If not, I would not use...
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RE: AL Amyloid & Serologic tests 1 day ago
Please post the full list of medications being taken by this patient. The auto-immune serology may be induced by medications. -------------------...
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RE: Managing large nephrology inpatient list 1 day ago
It is a multiple physicians group practice. The inpatient service is covered on weekly basis by one attending including 24h coverage and the weeken...
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AL Amyloid & Serologic tests 1 day ago
52-year-old white lady from Bosnia with a serum creatinine of 2.1 for several months, very mild proteinuria, no hematuria, mild dyspnea, no urinary...
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RE: Managing large nephrology inpatient list 1 day ago
Are you in Solo private practice or are you a member of a multiple physician Nephrology Group? What arrangements are in place for night and weekend...
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RE: Interesting Case 1 day ago
I presume that Congo Red is negative and EM does not show Amyloid or other fibrillar deposits. i also presume that the Light chain stains did not s...
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Managing large nephrology inpatient list 1 day ago
Hello colleagues, I am a new attending in a private practice and I have a few questions about managing an extensive nephrology inpatient list: ...
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Interesting Case 1 day ago
Dear all, Would like to know people view in this case Patient known to have CLL on Ibrutinib , also has hep b on treatment tho viral loads never b...
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RE: Budenoside for IgA Nephropathy 1 day ago
Why not use oral moderate dose prednisone, it is just as effective (and safe) as TRF -Bufesonide (but direct comparator trials are lacking)?. I hav...
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Applications for KidneyCure Grants Now Open 1 day ago
Applications for KidneyCure grants are now open. These grants support PhD students, nephrology fellows, early-career investigators, and educators. ...
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Applications for KidneyCure Grants Now Open 1 day ago
Applications for KidneyCure grants are now open. These grants support PhD students, nephrology fellows, early-career investigators, and educators. ...
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Applications for KidneyCure Grants Now Open 1 day ago
Applications for KidneyCure grants are now open. These grants support PhD students, nephrology fellows, early-career investigators, and educators. ...
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Applications for KidneyCure Grants Now Open 1 day ago
Applications for KidneyCure grants are now open. These grants support PhD students, nephrology fellows, early-career investigators, and educators. ...
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Budenoside for IgA Nephropathy 1 day ago
Dear Community Members Considering that Entocort is considerably more affordable than Nefecon, can it be viable option for therapy for patient wh...
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RE: Low urine creatinne 2 days ago
Low creatinine concentration in urine in August 2024, likely due to a water diuresis . Patient should be advised to limit fluid intake before Urine...
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RE: Low urine creatinne 2 days ago
Understood, would like to see her other results and compare for consistency. ------------------------------ John Mellas MD Nephrology and Hyperte...
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RE: Low urine creatinne 2 days ago
------------------------------ Arani Nanavati MD West Des Moines IA (269) 993-8059 ------------------------------
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RE: Low urine creatinne 2 days ago
Thanks Dr. Mellas for your comments - the original post stated that the patient appeared "well nourished" . This would seem to make sarcopenia an u...
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RE: Low urine creatinne 2 days ago
Having studied daily creatinine excretion for a research paper I have found daily urine creatinine levels as low as 10 mg/kg. This has been in pati...
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RE: Low urine creatinne 2 days ago
Dr. Asplin- thanks for your very helpful comments. If there eGFR Cystatin C and the the serum creatinine value is correct, the urine creatinine con...
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RE: Low urine creatinne 2 days ago
If we go back to the original issue, which was getting a urine that would qualify as adequate for a drug test, we need to know the goal. Here are t...
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RE: Low urine creatinne 3 days ago
Thank you all. Will repeat and see ------------------------------ Arani Nanavati MD West Des Moines IA ------------------------------
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RE: Low urine creatinne 3 days ago
so her 24 hour urine creatinine is low, either low muscle mass or under collection. that would have to be a real low muscle mass for this number ...
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RE: Low urine creatinne 3 days ago
What was the rationale for giving cetrizine? Just curious ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-888...
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RE: TRANSPLANT QUESTION: mycophenolate dosing 3 days ago
Thank You Dr Rosenberger for sharing this study. It would be wonderful if Erythrocyte IMPDH activity becomes more widely available as MPA drug leve...
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RE: Low urine creatinne 3 days ago
The eGFR-Cystatin C of 113 ml/min;and a Scr of 0.7 translates to a urine creatinine excretion rate of about 1.5 gms / d so the accuracy of a 24 hr ...
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RE: Low urine creatinne 3 days ago
The "normal" 24 hour creatinine excretion in a 38 year old woman is about 20.4 mg/kg/d (+ or - 3.9) or about 1.4 gms/d in this subject. With urine ...
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RE: Low urine creatinne 3 days ago
you must mean 670 mg/day, if it were 670 mg/dl X 14 dl = her 24 hr urine Cr excretion would be 9.3 grams. Assuming it is 670 mg/day she either ha...
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Low urine creatinne 3 days ago
Hello all, I have a patient who was referred to me for low urine creatinine. She is a 38 yo Caucasian lady who used to abuse drugs. She lost t...
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