The value of lateral X-ray in evaluating a malfunctioning HD catheter

A patient presented with a malfunctioning permanent hemodialysis catheter due to a kink. After a lateral X-ray revealed the problem, a new catheter was inserted under C-arm guidance. This approach is being adopted to prevent malposition and malfunction of HD catheters. Share your experience with using lateral X-rays for HD catheter placement!

A post to collect data about MCD in adults for a lecture

After a recent discussion about MCD in adults with nephrology fellows at AlQabbary hospital, we explored different subjects related to MCD from a simple pubmed search. Here are some important points to take into account when managing adults with MCD: 1. Females with MCD are at greater risk of thrombosis if they are taking oral … Continue reading A post to collect data about MCD in adults for a lecture

Sevelamer Carbonate in Egypt!

Sevelamer Carbonate 800 mg tablet has been recently introduced to the Egyptian market under the name Sevelam. This product is an excellent addition to the drugs related to kidney disorders. Options to treat hyperphosphatemia in non-dialysis CKD patients were lacking till the introduction of this drug. Nephrologists only options were to use Aluminum hydroxide for … Continue reading Sevelamer Carbonate in Egypt!

CKD, water intake, and hyponatremia!

Photo by Pixabay: https://www.pexels.com/photo/clean-clear-cold-drink-416528/ I used to instruct my patients to drink lots of fluids (not exactly water), especially the elderly, during summer, and for patients from upper Egypt, where it can get extremely hot. However, randomized controlled trials addressing this issue were not very much encouraging. There are 2 published studies regarding this issue: … Continue reading CKD, water intake, and hyponatremia!