TheKidneyProtector
@KidneyProtector
Protector of kidneys, nephrologist, patient advocate, teacher, artist, people lover and founder of The Kidney Protector Project!
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I must say this (though late): Homage due! @NephMadness REALLY delivered 2022. Thanks so much to the @AJKDonline + Big shout out to @Nephro_Sparks! ❤️ to an all time favorite #AnimalHouse for inspiring much thanks to @CRRTiff & @DrKeeksPhD #nephrocentric #poetry 1/ Cetaceans
Simple recent case but so many things to teach. LM: Diffuse proliferative GN IF: granular IgG 1+, 3+ C3 3+ EM: numerous subepithelial humps, few subendothelial deposits. Dx: Infection-related glomerulonephritis. 60 yr-old woman with acute kidney injury, hematuria, sepsis.
How do SGLT2is protect the kidneys? It's simple, let me show you. See? Simple. #KidneyWk
This biopsy shows the characteristic features of uric acid nephropathy (commonly known as gout), which results from precipitation of uric acid in the kidney parenchyma. Tophi frequently occur in the medulla, and usually consist of central regions of acellular, granular material…
This image is from a biopsy of a young female who presented with proteinuria during pregnancy. Routine immunofluorescence was negative. What is this stain and what is your diagnosis? #DiagnoseThis #nephx #pathx #renal #kidneypath
Diagnostic Yield of Whole-genome #Sequencing in Patients With #KidneyFailure of Undetermined #Etiology ≤50 years #VisualAbstract by @priti899 kireports.org/article/S2468-…
In practice, I often see Hydralazine being prescribed as a first-line antihypertensive agent 🫣 ⚠️ Side effects: Fluid retention, tachycardia, ANCA Vasculitis 🔥 📌 These potent vasodilators are not first line and when used in the treatment of resistant #hypertension, they may…
The Harrowing writing on the wall. Let’s protect our children: They are indeed our future.
While hypertension (HT) in pediatric patients is often secondary (SH), recent trends show a rise in primary hypertension (PH). Read this Original Article on the etiology of HT & factors associated w/PH in a large European cohort of children. #OpenAccess link.springer.com/article/10.100…
While hypertension (HT) in pediatric patients is often secondary (SH), recent trends show a rise in primary hypertension (PH). Read this Original Article on the etiology of HT & factors associated w/PH in a large European cohort of children. #OpenAccess link.springer.com/article/10.100…
Acute kidney injury (AKI) is associated with higher risk of mortality and progression to chronic kidney disease. This study found that providing education, alleviating treatment burden, and implementing a comprehensive model of care may help address the needs of patients with AKI…
Acute kidney injury is a complex syndrome typically classified into strict categories. This study highlights the complexity of AKI and the utility of latent class analysis in revealing its clinical heterogeneity. bit.ly/CJASN0530
Review by Chintan V. Shah, @Nephro_Sparks, and Chien-Te Lee: Sodium/Glucose Cotransporter 2 Inhibitors and Magnesium Homeostasis buff.ly/3Urbg9J (FREE) @DukeKidney
Circinate Syphilitic Lesions manualofmedicine.com/spot-diagnosis…
manualofmedicine.com
Circinate Syphilitic Lesions - Manual of Medicine
A physical examination showed circinate, concentric lesions on the palms and soles . Multiple circinate lesions were also visible on the face, with areas of erosion at the oral commissures. Condyloma...
Kussmaul’s sign: distention of jugular veins during inspiration. Negative intrathoracic pressure during inspiration pulls bloods into the right heart, but is restricted by noncompliant pericardium or myocardium (HF, pericarditis, tumors, massive PE, restrictive cardiomyopathy)
❤️When it comes to MGN Relapse…
When it comes to MGN relapse, "All roads lead to rituximab" CNI is a consideration with rituximab to lower proteinuria (decrease risks associated with nephrotic syndrome) awaiting rituximab to kick in.
Today @LGlaucomflecken won an award from the American Heart Association for her cardiac arrest and survivorship advocacy. She’s my hero.
We need to teach how doubt is not to be feared but welcomed and discussed. It's OK to say, "I don't know."
It is neither a prince, king or queen The dreaded fool, Hydralazine
Resonating Truth! This Thread should be bellowed from rooftops! Hydralazine the stuff of scary dreams! 😱🤮🤢
When it comes to MGN relapse, "All roads lead to rituximab" CNI is a consideration with rituximab to lower proteinuria (decrease risks associated with nephrotic syndrome) awaiting rituximab to kick in.
It's #WorldMentalHealthDay. Close to 1️⃣ billion people have a #MentalHealth disorder. Despite the magnitude of mental ill health, relatively few people around the 🌍 have access to quality mental health services. Let's make mental health & well-being for all a global priority!
Infectious disease goes on a hike
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