Blog

Good Doctors...Better People

The "Other" Cystic Kidney Diseases – Part 1

Here is part 1 of a review on the “other” cystic kidney diseases. -Adrian Baudy

VUR and Reflux Nephropathy

Nice Review of VUR and Reflux Nephropathy by Dr. Grewal.

Autosomal Dominant Polycystic Kidney

Nice presentation by Dr. Ibie.

SLK – Kidney Disease and End Stage Liver Disease

Here is a great presentation on simultaneous kidney liver transplant in ESLD/Cirrhotic patients.

Chloride Shunt

Here is a quick review of how the “chloride shunt” first described by Batlle et al in 1981 occurs. This can cause a voltage-dependent type of hyperkalemic distal renal tubular acidosis. In the cortical collecting duct, Na+ enters from the tubular lumen into the principal cell through the epithelial Na+ channel, ENaC. This electrogenic transport…
Read more

Dialysis Catheter Related Infections

Great presentation on management of dialysis catheter related infections by Dr. Ibie.

Aldosterone Escape vs Aldosterone Breakthrough

I recently came across the concept of aldosterone breakthrough in my readings and confused it with aldosterone escape, so I though it would be a good topic to clear up really quickly. Aldosterone Escape This concept explains why we don’t ever see edema in our primary hyperaldosteronism patients. Remember aldosterone typically causes an initial decrease…
Read more

JNC8 is Finally Here

After much adieu, JNC8 has finally been released and here are some of the new reccommendations: In patients 60 years or over, start treatment in blood pressures >150 mm Hg systolic or >90 mm Hg diastolic and treat to under those thresholds. In patients 18 years with either chronic kidney disease (CKD) or diabetes. In…
Read more

Nephrology Board Review – Membranous Nephropathy Answers

  1.) How many histologic stages of Membranous Nephropathy are there? A. 2 B. 3 C. 4 D. 5 Discussion: Four stages. Great LM and EM can be found here (AKJD Atlas). Stage I: Subepithelial deposits with little change to GBM, but extensive foot process effacement Stage II: Basement membrane “spikes” form between immune-complex Stage…
Read more

Loin Pain Hematuria Syndrome

Here is a great review of Loin Pain Hematuria Syndrome from one of our fellows, Saqib Syed. Bullet Points Mostly women Diagnosis of Exclusion (rule out infection, glomerular disease, stones, tumor, cyst, cystitis, AV malformation, hemangioma, ureteral pathology, coagulopathy, and factious disease. One of the few disease where nephrectomy and autotransplantation are may be indicated…
Read more