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Nephrology

General Hospital Medicine   

Questions discussed in this category

What factors influence your decision to start salt tablets, urea, or a vaptan first in the management of a patient diagnosed with SIADH?
3 Answers available
Do you recommend fluid restriction in addition to other management strategies for patients with hyponatremia due to SIADH?
6 Answers available
How do you manage catheter-associated, upper extremity superficial venous thrombosis?
Do you prefer anticoagulation? Is there a role for aspirin? How strongly do you recommend line removal?
1 Answer available
How do you weigh the benefit of urinary catheter placement for strict I/O measurement with the risk of avoidable CAUTI?
How does your approach vary by indication (critical illness, acute renal failure, hyponatremia, diuresis, etc.)?
1 Answer available
What is your approach to discharge planning for a patient with chronic SIADH who is admitted with asymptomatic acute-on-chronic hyponatremia?
How do you establish an acceptable baseline serum sodium? How do you decide between non-pharmacological interventions, such as fluid restriction vs th...
1 Answer available
How do you reconcile the risk of contrast-induced nephropathy (CIN) with the diagnostic benefit of contrasted CT in patients with AKI/CKD?
Does your approach change with venous vs arterial contrast?
1 Answer available
How do you recommend incorporating B-lines on lung POCUS as part of evaluating a patient's volume status?
In particular, how do you reconcile situations where lung POCUS findings contradict other components of volume assessment (e.g. JVD, peripheral edema,...
1 Answer available
What is your approach to managing incidental hypertension without evidence of end-organ damage in hospitalized patients?
How do you consider prn antihypertensives while admitted and/or adjusting a home antihypertensive regimen?
1 Answer available
What is your approach to managing concurrent severe SIADH and large-volume malignant ascites when aggressive volume removal appears to exacerbate both symptoms and hyponatremia?
For example, would you consider alternatives to paracentesis (Denver shunt placement, CART therapy, or permanent tunneled catheters) that might better...
1 Answer available
How many days prior to surgery do you recommend stopping SGLT2 inhibitors and when is it safe to resume therapy?
1 Answer available


Papers discussed in this category

Annals of emergency medicine, 2006-01
Prevalence of negative chest radiography results in the emergency department patient with decompensated heart failure.
European journal of endocrinology, 2023 Aug 02
Effect of protein supplementation on plasma sodium levels in the syndrome of inappropriate antidiuresis: a monocentric, open-label, proof-of-concept study-the TREASURE study.
JAMA internal medicine, 2021 Mar 01
Treatment and Outcomes of Inpatient Hypertension Among Adults With Noncardiac Admissions.
The New England journal of medicine, 2023 Oct 19
The Syndrome of Inappropriate Antidiuresis.
Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2024 Sep 27
Hyponatraemia-treatment standard 2024.
JAMA, 2025 Sep 15
Superficial Vein Thrombosis: A Review.

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