Help me out here. Why on earth do we have these two conditions when the second encapsulates the first?
Can you have 3 events in 12 month without 2 of them being within a span of 6 months??!!
#askrenal
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Hashtag
#askRenal
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Quick question - if I want to give Cefoperazone-Sulbactam for IP antibiotics for Automated PD with 10L exchanges can I use the Cefoperazone data in ISPD guidelines ie 500mg/L loading with 125mg/L for maintainence or is that overkill? #AskRenal
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Since atrasentan is bound to be approved for use in IgAN, does anyone know whether it will be revived for DKD?
SONAR did in fact show that it was effective, but the premature termination and upstaging by CREDENCE sort of left atrasentan for dead…
#askrenal
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Requiring a test 2-3 weeks after starting an SGLT2i and then dealing with the (expected yet surprising!!) eGFR drop
-> underprescription and unnecessary discontinuation.
Checking should be limited (high risk eg vol issues or if symptoms).
What guidance can we give our trainees? #askrenal
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What type of fish oil commercially available in the US most closely approximates the PISCES study formulation? Not an expert but I think not every fish oil being sold is equivalent.
#askrenal #nephjc #nephsky
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Apart from myeloma and MGRS , what other diseases should we think of in case of increased UPCR with no albumunuria in urine analysis.
Urine alb- trace
UPCR-5.2
SIFE,SFLC - normal
@askrenal.bsky.social #askrenal
#Nephsky
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My initial thoughts about aldosterone synthase inhibitors: why spend $$$$ to achieve what $4 of spironolactone can also achieve? Am I missing something?
#askrenal
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Curious to know what North American folks think about whether a drop in BP will be enough to get Baxdrostat licensed? In UK suspect NICE will want to see MACE data first to do cost-effectiveness analysis. #medsky #askrenal #nephjc
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Is calling “I-G-A nephropathy” “Eye-GAN” mainstream now? I am really struggling to accept that.
#askrenal
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If a patient is overloaded and their potassium is not an issue, do you usually do a isolated UF in the beginning or at the end of the dialysis session? Why?
#AskRenal
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In patients with antiHBc total positivity with negative DNA, do you use rituximab (eg AAV) with HBV prophylaxis as a safe alternative? Thank you #askrenal
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Has anyone studied the use of K supplementation to increase daily solute load and subsequently free water excretion in SIADH?
#AskRenal
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Curious if folks ever use this in setting of rapidly rising creatinine to make med dosing decisions - why or why not?
#AskRenal @askrenal.bsky.social
www.mdcalc.com/calc/10191/k...
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Looking for a PhD/Md-PhD candidate for a fully funded project at University Hospital Bern Switzerland to work at the intersection of kidney and bone biology. Please share, DM or comment. #NephSky #AskRenal
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Question for #nephsky #askrenal. Friend found these casts in a patient with multiple myeloma- Cr 0.8 and UPCR 0.1 g/g. They don’t look like typical hyaline casts. Any thoughts? @juancarlosqvelez.bsky.social @jrseltzer.bsky.social
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Do u have a local policy for picc- and mid-lines for pts with renal impairment?
🧭 Any simple algorithm that can be shared with other specialties?
⛔️ “Has to be discussed with nephrology” is a battle- we r the bad people who r inconsiderate of realities of the pt’s (immediate) care!
#askrenal
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#askrenal any preferences in diagnosis of pleuro/peritoneal leak in the hospital. NM scintigraphy versus ct peritonograohy? Trying to set up some inpatient order sets for the group. I saw @juancarlosqvelez.bsky.social had some good scintography pictures.
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Any good refs for recovery from AKI-D post liver transplant?
#AskRenal
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Using 3% saline for severe asymptomatic hyponatremia.
Yay or nay?
#askrenal
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What’s your treatment for idiopathic pericarditis in PD?
NSAIDs will cause loss of RRF and risk of UGIB. Colchicine at even low doses=diarrhea (and myopathy/cytopenias). Prednisone or try colchicine 0.3-0.6mg po daily to see if tolerated? Defer to cardiology? @askrenal.bsky.social #askrenal
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#askrenal is there here a nephrologist from Burundi ? We have a kidney donor from Burundi who is interested in donating to a family member in Canada and we are looking if in Burundi there is possibility of doing a HLA typage ?
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Congratulations CCCTG
Ringers and normal bicarb (3 amps per L 5% dextrose) have their place, especially in nephro practice, but for routine fluids, normal saline is cheaper and just as good
#askrenal #nephsky #medsky
Remember Ringer's is hypotonic - not for head injury
www.nejm.org/doi/10....
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#askrenal billing question- does any group actively collect a consent to bill from there patients for monthly capitation billing? My hospital wants to require this but I have never heard of any group routinely doing this and they want one signed annually.
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Have you ever converted a patient after kidney transplantation from tacrolimus to belatacept to improve progressing neuropathy? Have you noticed any beneficial effect? Thank you! #askrenal
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Risk factors for CKD
Early identification of #KD can protect #kidney health. We ask “Are your kidneys ok?” using serum creatinine to estimate kidney function and urine albumin to assess for kidney and endothelial damage #AskRenal
@csnscn.bsky.social @cjkhd.bsky.social
doi.org/10.1177/2054...
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