Month: October 2013

Good Doctors...Better People

PTH Targets

  Here is a quick PTH reference I made. Remember than PTH is standardized at all labs and that the overall trend is more important.

Dietary Restrictions for Patients With Nephrotic Syndrome

“What should I eat?” And “Should I avoid protein since I’m losing it in my urine?” These are questions that I often hear my patients with nephrotic syndrome ask. So today I decided to do a quick review to answer those questions in the clinic and on the wards. Sodium Sodium restriction has been shown…
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A Hepatorenal Syndrome Review

Here is great presentation on HRS by former fellow Damadar Kumbala.  

Differential Diagonosis of Day (3D) – Glomerular Causes of Hematuria

Today is a quick review of glomerular causes of hematuria without proteinuria, renal insufficiency, or RBC cast. IgA Nephropathy Thin Basement Membrane Nephropathy Hereditary Nephritis (Alport’s) Histologically normal glomeruli Nonetheless, the role of renal biopsy in the evaluation of asymptomatic hematuria in patients without proteinuria, hypertension, or kidney insufficiency is unclear. But it appears that…
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Alport's Syndrome and Thin Basement Membrane Nephropathy

Great Alport’s Syndrome and TBM Nephropathy

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Board Review 10/8/13

GOLDMARK – The New MUDPILES

So while reading AJKD I found the GOLDMARK mnemonic for anion gap metabolic acidosis by Ankit Mehta, Joshua and Micheal Emmett . It’s simple and works well, and I think it’s useful for hitting all the major causes of AGMA. I got tired of telling med students and residents to use propylene glycol instead of…
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Physiology Pearls – Gibbs-Donnan Equilibrium

The Gibbs-Donnan Equilibrium or Effect describes the behavior of charged particles near a semipermeable membrane. It explains the balance between electrostatic and osmotic forces. The effect is named after the American physicist Josiah Willard Gibbs and the British chemist Frederick G. Donnan. The Gibbs-Donnan Factor for monovalent cations is 0.95, for example this would mean…
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