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?
Landoni et al., PMID 38865168
Do you use them sequentially or together?
For example, is captopril dialyzable?
Invited Professor Series Video: Volume Management and Access Troubleshooting in Peritoneal Dialysis - Claretha Lyas, MD
Most patients with PGNMID have no detectable disease in their marrow or blood and urine protein cannot adequately be monitored.
Do you generally recommend anti-diarrheals, dietary modifications, or consider this an unacceptable side effect and move to other therapies?
Bustami et al., PMID 14678038
How do you approach increasing urinary citrate levels in a patient with recurrent calcium nephrolithiasis who has hypocitraturia non-acidic urine?
At what doses do you start? and how do you titrate therapy?
Odawara et al., Clinical Journal of the American Society of Nephrology 2024
Is this seen more with high dose vitamin D supplementation?
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.
Lazarus, et al., PMID: 38913437
Aluminum hydroxide/magnesium hydroxide (i.e. Maalox).
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...
Lazarus et al., PMID 26752337
Are there specific guidelines for managing this patient population?
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?
Okubo et al., PMID 38442744
ACORN Randomized Clinical Trial
How does the presence of extra-renal manifestations influence this decision?
When do you decide to hospitalize?
Hammouda et al., PMID 28282874
Miskulin, et al., PMID 38349776
How do you monitor response and what do you consider a satisfactory response? Do you aim for a certain threshold of proteinuria?
Auguste & Bargman, PMID 36208963
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).
Would you obtain renal biopsy first or treat with additional immunosuppression for suspected renal involvement related to IgG4?
Low EF in the range of 30%
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
Invited Professor Series Video: Volume Management and Access Troubleshooting in Peritoneal Dialysis - Claretha Lyas, MD
No transfusion dependence but has hemoglobin in the 8-9 g/dl range.
If there are light chain deposits on the kidney, is that conclusive of MGRS?
Based on the results of the MAIN trial; Hou et al., PMID: 36745456
A specific example would be a clinically quiescent but serologically active patient.
Patient with nephrotic range proteinuria, but there is no evidence of active TMA on renal biopsy.
What doses of allopurinol do you use, and how frequently do you titrate the dose?
If so, how long would you monitor PTH levels?
Parks et al., PMID 11912373
The EVEREST Outcome trial (Konstam et al., PMID 17384437)
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...
Does transplant eligibility make a difference for management?
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Kidney Int, 2010 Feb 24
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Clin J Am Soc Nephrol, 2021 Apr 20
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Perit Dial Int, 2022 Mar
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Clin Kidney J, 2021 Dec 21
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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
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Journal of the American Society of Nephrology : JASN, 2017-02
Clin J Am Soc Nephrol, 2021 Feb 18
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The New England journal of medicine, 2014-01-02
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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
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Journal of critical care, 2023 May 13
The Journal of urology, 1992-06
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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
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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
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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
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Kidney international, 2021 Apr 18
The New England journal of medicine, 2022 Nov 04
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