Nephrology
154 Threads
9/ Another etiology of AKI is bile cast nephropathy. Usually occurs when bili> 20. Bilirubin is excreted into the tubules and excess bilirubin in tubules can cause tubular epitheli...
Two subjects eating exactly the same diet. One is healthy, the other has Bartter syndrome Compared with the healthy subject, 24 hr urinary excretion of electrolytes in the patien...
📢Hello, #MedTwitter ⚡This month’s @ASPNeph Renal Pathology Webinar was all about 🌟#Hereditary nephritis Here are some important “facts” I learned! #Medtweetorial #nephtwitter...
#Hemodynamics Case: Young patient with SLE comes with acute dyspnea. BP 110/70, HR 136, RR 45, O2Sat 88%. Neuro OK, cold skin, CRT 3 sec, increased work of breathing, leg edema....
@VelezNephHepato @DRsonosRD @NephroP @ebtapper @NephroGuy @msiuba @BissellBrittany @ThinkingCC I use VExUS in Cardiorenal not HRS Plethoric IVC = high RAP VExUS = abdominal congest...
1/18 Let’s talk vancomycin and the kidney.🧪 A 65 y/o woman on week 4 of IV vancomycin for ankle osteomyelitis presents with AKI (Cr 6.32mg/dL) and elevated vancomycin level (136...
Pt w advanced liver cirrhosis. 🏥 Comes w worsening ascites. No fever🤒, no bleeding🩸. 🧠 ok, no asterixis. BP 91/50. Labs📈: AKI (Cr 3.0 mg/dl), UNa 7 mEq/L, bland sediment. #POCUS 👉s...
🌸SLE: Pulmonary Manifestations 1️⃣Pleuritis 👉Most common 👉Pleuritic pain in 45-60% 👉Invariably Exudative 👉LE cells in pleural fluid diagnostic 👉Pleural fluid- Higher glucose & Low...
1/ 📢Hello #MedTwitter Let’s talk about pediatric #MPGN / ‘Immune complex GN’ #ICGN today A few pearls from the 1st @ASPNeph pathology webinar of 2021 #tweetorial #NephTwitter Let'...
🌸NephroTips on AKI in Pregnancy (1/6) #Tweetorial for budding Nephrologists 🔥Seven-point differential assessment 1️⃣Period of gestation 2️⃣Prodromal symptom 3️⃣Coagulopathy 4️⃣LF...
🌸Consequences of Rapid Change in Plasma Na Concentration ♨️Key mediator- Aquaporin 4 in astrocytic foot process on brain capillary 👉Permeable to H2O but not to Na ♨️First line of...
Hi #MedTwitter A recent case- discussion on #ASPNeph webinar #kidneymass in children intrigued me. Here’s what I learned. #Nephtwitter #tweetorial
1/ 📢Hello #MedTwitter We recently had an interesting case-based discussion @ASPNeph pathology webinar. Here’s what I learned about💥Rhabdomyolysis💥(RM) and AKI! Let's begin with a...
AKI in young pt with morbid obesity on mechanical ventilation and prone position (COVID-19). Cr 2.7 mg/dl. Persistent oliguria despite 2L crystalloid and Lasix gtt. BP 130/80....
#Nephrology consult for worsening creatinine in the context of diuresis in a patient with #heartfailure Documented weight 3 kg ⬇️ than the previous day. No accurate urine output....
1/ Hi #medtwitter! We’re back with a new case @TheSkeletonKG. Call from ER for quadriparesis and dry eyes with dyselectrolytemia. Let's break it down with a #tweetorial #FOAMed #Ne...
“What is the role of vasopressin?” A nephrologist will talk about osmolality and aquaporins. An intensivist might talk about its use as a pressor. But, ask an evolutionary or...
Hi #medtwitter! We’re halfway through 2020(‼️), New month = new case with @TheSkeletonKG. A little rusty in the clinic, ready for a consult? 🤓 Join us as we figure out this patient...
AKI consult: Elderly male @ ED w suspected COVID19. Tx: 15 L NRM + 2.5 L crystalloid. PMH: COPD and OA Cr 3.9 + oliguria. UA: SG: 1.020, UNa 24. FENa 0.3%. No blood, WBC or p...
💥How to use Urine Electrolytes for assesment & diagnosis of Kidney Disorders? A great article in @CJASN 👉🏽 https://t.co/bASophyJLD ⚡️Summary of the article is in this🧵 #MedEd...
My maiden attempt at Tweetorial-- 💥on STARRT-AKI trial. @NephJC @kidney_boy @Nephro_Sparks @ssfarouk @STARRTAKI @hswapnil 1/
1/16 Why does uremia cause platelet dysfunction (i.e., what are "uremic platelets")? The association between kidney disease and bleeding has been observed for centuries and remai...
Why #kidney function does not equal #GFR (and certainly not Cr), making it an elusive target in clinical practice & the latter a poor surrogate outcome, despite its robust correlat...
Is being pregnant magical🌟? I’m not so sure, but let’s give OB a Nephrology twist. 🍼🐣 #nephtwitter #obtwitter #endotwitter #reallythekidneysarethecoolest #medtwitter #tweetorial...
