For you to become an excellent nephrologist in your practice, i advise these 10 points to do: Gather your team.Educate your patient Have EmpathyStay updatedOne Size doesn't fit all First Do No Harm!A Multidisciplinary approachMaster "Electrolytes and acid-base", the chapter you're always skipping.Have some data and reflect on your practice.Do Research. Now let's discuss these … Continue reading 10 things to do to become a great nephrologist!
Hydroxychloroquine (HCQ) is an antimalarial and an immunomodulatory drug, which has established roles in managing SLE, lupus nephritis and inflammatory arthritis. Recently, new roles for HCQ has been established in the management of IgA nephropathy (IgAN). Liu et al from Peking university in China, reported in the AJKD a double-blind, randomized, placebo-controlled, clinical trial, comparing … Continue reading More options to manage IgA Nephropathy
Pexels.com At the ISN WCN 2019, Vlado Perkovic from The George Institute announced the results of #CREDENCE trial (full lecture video here, slides here), which was published also in NEJM at the same day. Results showed that Canagliflozin significantly decreased the risk of primary outcome (a composite of ESKD, doubling of serum creatinine and renal … Continue reading Should Nephrologists prescribe SGLT2-i to their patients?
A couple of days ago I saw a patient admitted with anuria and AKI following 5 days of steroid therapy for a very large mediastinal lymphoma. Patient didn't have any previous history of kidney disease. His lab investigations revealed high uric acid, K and phosphorus with normal serum calcium. 2 hours after admission he … Continue reading Tumour Lysis Syndrome
About 2 years ago, we had a 50 year old kidney transplant recipient, who had been transplanted since 10 years. He was performing very well with his serum creatinine ranging from 0.9 - 1 mg/dl. He was maintained on steroids 5mg, Tacrolimus 1+1, Mycophenolic acid 360 *2. The patient presented with jaundice and lower extremity … Continue reading A complex case of proteinuria and Jaundice in a kidney transplant recipient !
From: https://keepcalms.com Yesterday, i saw a T2DM patient admitted with heavy proteinuria (10 grams), anasarca and slightly elevated serum creatinine (1.5 mg/dL). Digging into her history, T2DM was diagnosed 1.5 years ago. Still, it seems a bit older, as she had diabetic retinopathy six months after diagnosis, which was treated with Laser photo-coagulation. She has … Continue reading Is it Diabetic Nephropathy?
Image by montemari from Pixabay Arabic Gum (or Gum Acacia), is a natural product extracted from acacia species, predominantly Acacia senegal and Vachellia (Acacia) seyal. Arabic Gum (AG) is a complex mixture of glycoproteins and polysaccharides. It is soluble in water, used primarily in the food industry as a stabilizer, with EU E number E414. AG is rich in Calcium, Magnesium and Potassium. Upon ingestion … Continue reading Gum Arabic in CKD, a Friend or Foe ?!