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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We recently saw a 68 y/o M with history of ibuprofen 800 mg PO daily for 12-14 years. He had been having long standing minor renal insufficiency for the last 10 years with a progressive worsening of his GFR for about 1 year. The patient was found to have proteinuria of ~ 1 gram/day. Prior…
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A 55 y/o M with h/o of CKD 4 due to diabetic nephropathy has been on tri-weekly EPO for the last 6 weeks for anemia of CKD is found to still have a hemoglobin of 9.2. He denies any obvious bleeding but reports being hospitalized twice in the last 3 months for diabetic ulcers and…
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Here is part 1 of a review on the “other” cystic kidney diseases. -Adrian Baudy
Nice Review of VUR and Reflux Nephropathy by Dr. Grewal.
Nice presentation by Dr. Ibie.
Typical Dietary Recommendations for Chronic Kidney Disease Patients Protein: 0.6-0.8 g/kg/day Sodium: <2 g/day (<6 g/day of salt) Potassium: 40-70 mEq/day Phosphate: 600-800 mg/day Calcium: 1400-1600 mg/day (not to exceed 2000 mg/day) Free water (in excess of urine output): 1-1.5 L/day Here is a great chart of dietary recommendations by the Cleveland Clinic’s Disease Management…
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Here is a quick PTH reference I made. Remember than PTH is standardized at all labs and that the overall trend is more important.
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