Category: AKI

Good Doctors...Better People

Caffeine and Kidneys = Coffee Beans ❤ Red Beans

There is already good evidence that coffee is good for the liver and could decrease the incidence of cirrhosis. But at Kidney Week this year, we found out that there was a dose-dependent inverse association between caffeine consumption and early death in chronic kidney disease patients. Miguel Bigotte Vieira, MD (Centro Hospitalar Lisboa Norte, in…
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Kidney Week is in the Big Easy!

Kidney week is in full blast and it is a big one. Joel Topf is getting an award, we see that caffeine might be beneficial in CKD, and there is a ton of great information.

NephMadness 2015

Starting March 1st…Everyone get ready! www.NephMadness.com

Fill Me Up – An Arguement Using More Balanced Solutions

History of NS vs LR In the great fluid infusion debate internist have favored normal saline, while surgeons have preferred lactated ringers. It looks like our surgeon friends may have gotten it right. Normal saline was never actually “invented” to be a volume replacement therapy. Wikipedia reports that it was discovered in 1831 by William…
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Differential Diagnosis of AKI in Liver Disease

I recently received a consult for a liver patient with Hep B and Hep C with cirrhosis that developed worsening ascites and oliguric AKI I ask the resident if the usual initial evaluation was done and she was unaware of what that was, therefore I decided to briefly touch on the differential diagnosis and evaluation…
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Neph Madness is here!

Time for all renal fellows, residents, interns, students (and lovers of the red beans) to fill out your brackets for nephmadness. Its fun as it’s March and you’ll have your other brackets out. Also you should learn something along the way. Check it out at www.nephmadness.com. Brackets due by March 26.

Thrombotic Microangiopathies

Thrombotic microangiopathies (or TMA for the cool kids or the occasional phonetically-challenged fellows like myself) have always been a little tricky so I decided to do a quick review today to help clear things up a bit. First I’ll start with some questions and try to jump into the meat of things. Question 1 A…
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FDA Tells 23AndMe to Halt Marketing

  The Mountain View based 23AndMe, a personal genome service (PGS) that offers genome sequencing was ordered to stop marketing its service. The FDA report stated that 23AndMe did not demonstrate that they had “analytically or clinically validated the PGS for its intended uses” and the “FDA is concerned about the public health consequences of…
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Nephrology Board Review – Membranous Nephropathy

1.) How many histologic stages of Membranous Nephropathy are there? A. 2 B. 3 C. 4 D. 5   2.) The stages correlate with the clinical manifestations of MN. A. True B. False   3.) Which of the following are podocyte antigens? A. suPAR B. Neutral endopeptidase (NEP) C. Paxillin D. Phospholipase A1 Receptor (PLA2R)…
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