Nephrology

Geriatric Medicine

Questions discussed in this category

In older adults with chronic mild hyponatremia (Na 128–132) attributed to SSRIs but good psychiatric response, do you tolerate persistent hyponatremia, reduce the dose, or switch agents?

At what sodium level do you intervene?

2 Answers available

In outpatient primary care settings, would you recommend routinely checking Cystatin-C as a marker of renal function in older adults?

3 Answers available

What is the role for checking uric acid levels in evaluation of SIADH in hospitalized older adults?

1 Answer available

What strategies do you find helpful in advanced care planning with patients/families who are very "miracle" centered?

For example, prolonging life-sustaining measures as they "wait for a miracle" of an unrealistic outcome.

2 Answers available

What is your approach to bisphosphonate use in patients with advanced chronic kidney disease and osteoporosis?

3 Answers available

What are some practical tips in distinguishing between metabolic bone disease due to chronic kidney disease and osteoporosis?

1 Answer available

What is your systolic blood pressure target for patients over 80 with frailty and multiple comorbidities?

1 Answer available

Do you recommend performing cognitive testing in the clinic to determine the blood pressure target in patients 80 years or older?

1 Answer available

Would you recommend AV fistula placement in a CKD Stage 5 patient who is over the age of 80?

2 Answers available

Papers discussed in this category

JAMA, 2019-02-12

Effect of Intensive vs Standard Blood Pressure Control on Probable Dementia: A Randomized Clinical Trial.

JAMA, 2019-08-13

Association of Intensive vs Standard Blood Pressure Control With Cerebral White Matter Lesions.

Kidney Int, 2019 Jan

Hemodialysis vascular access in the elderly-getting it right.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research, 2021 Feb 08

Safety of Oral Bisphosphonates in Moderate-to-Severe Chronic Kidney Disease: A Binational Cohort Analysis.

Current opinion in nephrology and hypertension, 2022 Jun 10

Clinical utility of bone turnover markers in patients with chronic kidney disease.

JAMA, 2025 Dec 02

Discordance in Creatinine- and Cystatin C-Based eGFR and Clinical Outcomes: A Meta-Analysis.

Drugs & aging, 2001

Hypertension in the Very Elderly Trial (HYVET): protocol for the main trial.

Circulation research, 2019 Mar 29

Hypertension Management in Older and Frail Older Patients.

Journal of the American Geriatrics Society, 2006 Feb

Hyponatremia and arginine vasopressin dysregulation: mechanisms, clinical consequences, and management.

The New England journal of medicine, 2023 Oct 19

The Syndrome of Inappropriate Antidiuresis.

American family physician, 2023 Nov

Diagnosis and Management of Sodium Disorders: Hyponatremia and Hypernatremia.

Nephrology

Geriatric Medicine

Questions discussed in this category

Papers discussed in this category

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