Nephrology   

Questions discussed in this category



For a patient whose sodium remains 142 despite water deprivation from 8 pm to 8 am, with urine osm of about 500, is further testing needed?

Do you generally recommend anti-diarrheals, dietary modifications, or consider this an unacceptable side effect and move to other therapies? 

How do you approach increasing urinary citrate levels in a patient with recurrent calcium nephrolithiasis who has hypocitraturia non-acidic urine?

If a patient has received a kidney transplant for SLE-LN and is stable and doing well. Managed by their transplant team and on chronic immunosuppressi...

See dapagliflozin drug insert form which states Farxiga is not recommended for patients with PKD.

How do you balance between having a higher long-term blood pressure to prevent flow failure and leading to worsening of stenosis or occlusion from the...

Since free light chains are removed by dialysis and SPEP can also be impacted, is there a reliable way to monitor patients with ESRD and MM?

How does the presence of extra-renal manifestations influence this decision?

How do you monitor response and what do you consider a satisfactory response? Do you aim for a certain threshold of proteinuria?

KEYNOTE-564 required CrCl 30 or above. Not having a baseline/stable CrCl may make it difficult to diagnose or treat IO nephritis. 

Do you insist on ambulatory/home blood pressures to rule in/out white coat hypertension? Does your practice have a system to log patients' BPs to supp...

Do you refer all patients with suspected LN, patients with confirmed LN, or patients with specific features (not responding to usual therapy, certain ...

Prior retrospective studies have suggested a lower rate of future catheter use with a backup AVF in place (Haralabopoulos et al., PMID 32852703).

This question is part of a collaboration with RheumMadness and is in reference to Pathogenic ANCA (RAVE Trial).

Invited Professor Series Video: Volume Management and Access Troubleshooting in Peritoneal Dialysis - Claretha Lyas, MD

Invited Professor Series Video: Volume Management and Access Troubleshooting in Peritoneal Dialysis - Claretha Lyas, MD

If there are light chain deposits on the kidney, is that conclusive of MGRS?

A specific example would be a clinically quiescent but serologically active patient.

What doses of allopurinol do you use, and how frequently do you titrate the dose?

Do you wait to monitor response to empiric corticosteroids before pursuing a kidney biopsy?

Would you bridge with enoxaparin 0.7 mg/kg/day in an ESKD patient, as described in a previous retrospective study (Pon et al., PMID: 24718051)?

Is there a role for immunosuppressive medications such as TNF inhibitors in the management of IgA nephropathy in this setting?

What are the expected outcomes if you were to irradiate the pelvis in someone on peritoneal dialysis? 

- Dialysis catheter used for hemodialysis- RIJ thrombus in dialysis catheter was incidentally found- Patient asymptomatic with no prior history of VTE...


Papers discussed in this category


N Engl J Med, 2020 Feb 13

Ann. Rheum. Dis., 2018 Apr 25

Kidney international, 2019-01

N Engl J Med,

Clinical journal of the American Society of Nephrology : CJASN, 2008-01

Lancet, 2021 May 07

Lancet (London, England), 2011 Feb 04

Arthritis & rheumatology (Hoboken, N.J.), 2023 Jul 19

PLoS One, 2021 Apr 08

Am J Kidney Dis, 2019 Aug 05

Kidney international, 2009-12

Clinical journal of the American Society of Nephrology : CJASN, 2010-07

Journal of the American Society of Nephrology : JASN, 2010-08

Am J Kidney Dis, 2016 Sep 16

J Rheumatol, 2004 Aug

QJM, 2013 May 21

Circulation, 2022 Nov 06

Circulation, 2022 Nov 06

JAMA, 2016-06-28

JAMA, 2019-02-12

The American journal of medicine, 1983-09

Arthritis care & research, 2011-06

Kidney international, 2018-04

Kidney Int, 2010 Feb 24

The New England journal of medicine, 2019-06-13

Clin J Am Soc Nephrol, 2021 Apr 20

FASEB J, 2023 Apr

Kidney Int Rep, 2022 May 05

N Engl J Med, 2020 Oct 23

Semin Dial, 2010 May 10

Perit Dial Int, 2022 Mar

Kidney Int Rep, 2021 Oct 06

Kidney360, 2023 Mar 01

Kidney Int, 2022 Sep 10

Kidney360, 2021 Dec 03

Nephrol Dial Transplant, 2022 Jul 26

Clin Kidney J, 2021 Dec 21

Clin Exp Nephrol, 2021 Nov 13

Kidney Int, 2021 Sep 14

J Am Soc Nephrol, 2022 Nov 04

J Am Soc Nephrol, 2020 Jul 17

Clinical transplantation, 2017-05

Transplantation proceedings, 2020 Jun 21

The Journal of clinical endocrinology and metabolism, 2016-05

Hypertension (Dallas, Tex. : 1979), 2017 Nov 13

The New England journal of medicine, 2021 Nov 05

Clin Chim Acta, 2020 Oct 20

Am J Kidney Dis, 2019 Jun 19

Curr Opin Nephrol Hypertens, 2011 Sep

Kidney Int, 2002 Jul

Clinical journal of the American Society of Nephrology : CJASN, 2019-05-07

Curr Opin Cell Biol, 1995 Aug

Journal of vascular and interventional radiology : JVIR, 2012 Apr 17

Journal of vascular and interventional radiology : JVIR, 2015-02

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2009-08

POCUS J, 2022 Feb 01

AACE Clin Case Rep, 2020 Aug 06

Am J Med, 1987 Jun

Sarcoidosis Vasc Diffuse Lung Dis, 2012 Mar

Arch Osteoporos, 2017 Jul 19

BMJ Case Rep, 2022 Jul 08

Arthritis Res Ther, 2014 Mar 24

Am J Transplant, 2021 Feb 23

Transplantation, 2009 Aug 15

N Engl J Med, 2023 Mar 02

Kidney Int Rep, 2020 Mar 16

Rheumatology international, 2017 Mar 03

Rheumatology (Oxford, England), 2015 Aug 27

Circulation, 2020 Aug 29

Kidney360, 2021 Feb 01

Am J Transplant, 2019 Jul 01

Transpl Infect Dis, 2020 Jul 14

Journal of the American Society of Nephrology : JASN, 2014-07

Kidney Int, 2021 Mar

Pediatr Transplant, 2018 Dec 09

N Engl J Med, 2015 Nov 09

Kidney Int, 1998 Jan

Sci Rep, 2019 Jul 19

Ann Intern Med, 2019 Jul 30

Am J Kidney Dis, 2021 Mar 08

Radiology, 2021 Jan

JAMA, 2019-08-13

Kidney Int, 2019 Jan

Nat Rev Nephrol, 2015 Nov 16

J Rheumatol, 2017 May 15

Renal failure, 2006

American journal of nephrology, 2014

Clinical journal of the American Society of Nephrology : CJASN, 2015-11-06

Perit Dial Int, 2020 Jan 21

Am J Kidney Dis, 2009 Apr 25

Gastroenterology, 2019-09

Kidney360, 2022 Jan 04

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2013-01

Seminars in dialysis, 2014

Kidney Int, 2012 May 16

Diabetes Metab, 2021 Dec 13

The New England journal of medicine, 2018-02-15

The New England journal of medicine, 2013 Jul 10

Perit Dial Int, 2017 Jul-Aug

Semin Nephrol, 2017 Jan

Annals of clinical and laboratory science, 2008

International journal of general medicine, 2019 Sep 02

Journal of the American Society of Nephrology : JASN, 2017-02

Clin J Am Soc Nephrol, 2021 Feb 18

The journal of vascular access, 2020 May 15

Hemodialysis international. International Symposium on Home Hemodialysis, 2013 Oct

Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 2017 Mar-Apr

Clinical journal of the American Society of Nephrology : CJASN, 2017 May 04

Ann Rheum Dis, 2020 Jan

Kidney international reports, 2021 Jan 06

Kidney international, 1997 Oct

Critical care medicine, 2009-09

Journal of critical care, 2019-08

The New England journal of medicine, 2014-01-02

Annals of internal medicine, 2009 May 04

The New England journal of medicine, 2009 Nov 12

The New England journal of medicine, 2015 Sep 17

The New England journal of medicine, 2020 Sep 24

Clin J Am Soc Nephrol, 2018 Jul 6

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2019 Jul 19

Seminars in arthritis and rheumatism, 2016 Sep 21

Clinical rheumatology, 2018 May 11

BMC nephrology, 2022 Mar 13

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2019 Apr 27

JAMA, 2014-02-12

Journal of autoimmunity, 2017 Apr 12

Kidney international, 2013 Nov 27

Kidney research and clinical practice, 2021 Nov 29

The American journal of medicine, 2016-05

Clinical journal of the American Society of Nephrology : CJASN, 2018-07-06

Journal of critical care, 2023 May 13

The Journal of urology, 1992-06

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2021 Nov 07

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2009-07-01

Arthritis and rheumatism, 2011-12

Lupus,

Arthritis Rheumatol, 2017 Apr 07

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2010 May-Jun

Hypertension (Dallas, Tex. : 1979), 2020 Jan 27

Circulation, 2021 Dec 14

JAMA neurology, 2022 Apr 01

Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2022 Oct 31

Transplantation reviews (Orlando, Fla.), 2021 Jun 24

Circulation, 2011-12-20

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2013-01

American journal of nephrology, 2013

Journal of the American Heart Association, 2021 Jun 26

Kidney international, 2022 Nov

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023 Jan 18

Cardiovascular diabetology, 2024 Feb 08

The New England journal of medicine, 2024 May 24

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2013 Jun 19

Clinical journal of the American Society of Nephrology : CJASN, 2020 Mar 09

Kidney international, 2021 Apr 18

The New England journal of medicine, 2022 Nov 04

Lupus science & medicine, 2020 Feb 18

N Engl J Med, 2021 Feb 18

Kidney research and clinical practice, 2018 Mar 31

Kidney international, 2001 Mar

American journal of nephrology, 1992

Kidney research and clinical practice, 2019 Mar 31

Clinical journal of the American Society of Nephrology : CJASN, 2017-08-07

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2013-04

Lupus Sci Med, 2018

Journal of the American Society of Nephrology : JASN, 2004-01

Frontiers in cardiovascular medicine, 2022 Feb 23

Journal of pain research, 2017 Jan 27

Current opinion in rheumatology, 2018 Jul

European journal of medical research, 2009 Dec 07

Annals of the rheumatic diseases, 2018 Jun 27

AJR. American journal of roentgenology, 2015-08

Journal of vascular and interventional radiology : JVIR, 2019 Jun 20

Kidney360, 2023 Nov 22

The Journal of surgical research, 2019-12

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2011 May-Jun

The International journal of artificial organs, 2022 Jan 17

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2024 Jan 24

Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2020 Jan 10

Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2023 Jun 08

Rheumatic diseases clinics of North America, 2006 Feb

The New England journal of medicine, 1986 Mar 06

BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy, 2003

Pediatric nephrology (Berlin, Germany), 2020 Nov 06

The Journal of molecular diagnostics : JMD, 2012 Aug 21

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2023 Jan 04

Cancer, 2017-06-01

N Engl J Med,

Cancers, 2022 May 17

International journal of urology : official journal of the Japanese Urological Association, 2023 Jun 06

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2015-01

Lancet (London, England), 2005 Mar 12-18

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023 Feb 13

The New England journal of medicine, 2009-11-19

The New England journal of medicine, 2006 Nov 16

Annals of the rheumatic diseases, 2024 Jan 11

Oncology research, 2018-04-10

Balkan journal of medical genetics : BJMG, 2023 May 02

Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2012-08

Current medical research and opinion, 2016-12

Therapeutic drug monitoring, 2022 Jun 01

Kidney360, 2022 Dec 18

Kidney international reports, 2021 Dec 01

Current cardiology reviews, 2021

Interactive cardiovascular and thoracic surgery, 2013 Nov 19

The American journal of cardiology, 2021 Aug 11

Lancet Oncol,

Clinical journal of the American Society of Nephrology : CJASN, 2019 Nov 18

Transplant international : official journal of the European Society for Organ Transplantation, 2019 Oct 07

The Annals of pharmacotherapy, 2017-10

Current opinion in critical care, 2021 Aug 01

Journal for immunotherapy of cancer, 2020 Oct

Circulation, 2008 Jun 09

Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 1999 May-Jun

Nephrology (Carlton, Vic.), 2004 Jun

Journal of immunological methods, 2020 Dec 13

Kidney international reports, 2021 Mar 24

Kidney international, 2020 Mar 06

Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis, 2023 Jan-Dec

JAMA internal medicine, 2024 May 13

Cancer, 2006-09-15

Journal of the National Medical Association, 1979 Feb

Annals of the rheumatic diseases, 2023 Oct 12

Kidney international, 2024 Jan

Lupus, 2023 Sep 27

Arthritis Rheumatol, 2020 Aug 4

Cureus, 2023 May 10

BMJ open, 2019 Dec 16

Annals of the rheumatic diseases, 2024 Oct 21

Journal of the American Society of Nephrology : JASN, 2009-05

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2011-12

Annals of internal medicine, 2015 Jan 06

Diabetes, obesity & metabolism, 2024 Apr 28

Kidney international, 1978-07

Annals of clinical and laboratory science, 1982

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2019 Jan 17

The Journal of urology, 1964 Apr

Transplantation direct, 2021 Sep 07

Mayo Clinic proceedings, 1995 Mar

The New England journal of medicine, 2018-03-29

Lancet, 2020 Nov 09

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2019

Kidney international, 2002-11

Medicine, 1979 Sep

Kidney360, 2023 Mar 23

Clinical journal of the American Society of Nephrology : CJASN, 2024 Jun 07

Nephrology (Carlton, Vic.), 2019 Oct 23

European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes, 2021 Dec 06

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2003-07

Arthritis and rheumatism, 2013-07

Arthritis care & research, 2023 Nov 28

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023 Mar 31

Lancet (London, England), 2014-05-24

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2023 May 26

Arthritis care & research, 2012-10

Proceedings of the National Academy of Sciences of the United States of America, 2005 Mar 02

Kidney international, 2019-04

Kidney360, 2023 Feb 10

Frontiers in medicine, 2022 Mar 17

The international journal of cardiovascular imaging, 2021 Feb 05

The New England journal of medicine, 2021 Mar 04

Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society, 2021 Aug 01

Kidney international, 2018-07

BMC nephrology, 2019-02-14

Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis, 2020 Jan 17

American journal of kidney diseases : the official journal of the National Kidney Foundation, 2020 Sep

Lancet (London, England), 2024 Jun 27

Blood purification, 2020 Jan 15

Clinical journal of the American Society of Nephrology : CJASN, 2024 Jun 24

Clinical transplantation, 2020 Nov 22

Clinical journal of the American Society of Nephrology : CJASN, 2008 Sep 24

Scientific reports, 2020 Oct 15

The New England journal of medicine, 1980-02-21

The New England journal of medicine, 2018 Sep 13

Annals of surgery, 2008-10

American journal of infection control, 2020 Jun 02

Osong public health and research perspectives, 2020 Feb

Kidney360, 2022 Aug 25

Circulation, 2019-06-18

The New England journal of medicine, 2024 Oct 26

Atencion primaria, 1997 Sep 30

The New England journal of medicine, 2024 Oct 25

Nephron, 1986

The New England journal of medicine, 2024 Jun 12

The New England journal of medicine, 2003 Oct 02