ASN represents more than 21,000 kidney health professionals working to help people with kidney diseases and their families. Comprised of all of ASN's focus areas, the ASN Alliance for Kidney Health allows the society to continue its growth and work towards the goal of a world without kidney diseases.
The latest Nephrology Self-Assessment Program (nephSAP) issue, Volume 23: Issue 1 (May 2024): Pediatric Kidney Disease is now available online.
RE: KDIGO 2024 CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF AAV 21 hours ago
Dr. Mahmoud- common confusion.Practice Points are Not evidence based recommendations. They are opinion based statements and opinions vary on this p...
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RE: IgA Nephritis and pneumonia, underlying CKD with co morbidities 1 day ago
Thank you for this nice case Skin biopsy can show Ig Av or just leukoerythroblastic vascilitis --------------------------------- Mohamed Mahmoud...
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RE: Membranous Nephropathy With Fouriner Gangrene 1 day ago
Sahin H, Aflay U, Kilinç N, Bircan MK. Coagulation parameters in the patients with Fournier's Gangrene. Int Urol Nephrol. 2005;37(4):733-7. doi: 10...
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RE: Membranous Nephropathy With Fouriner Gangrene 1 day ago
Can we consider Fournier gangrene thrombotic event ? What’s Is IS protocol suggested ? --------------------------------- Mohamed Mahmoud MBBS ...
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RE: Lupus podocytopathy 1 day ago
Studies from post-transplant recurrence of Nephrotic Syndrome of Finnish type suggest that autoantibodies can inujur podocytes in ways other than I...
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KDIGO 2024 CLINICAL PRACTICE GUIDELINE FOR THE MANAGEMENT OF AAV 1 day ago
From KDIGO 2024 Practice Point 9.3.1.9: Consider plasma exchange for patients with SCr >3.4 mg/dl (>300 mmol/l), patients requiring dialysis or wi...
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Kidney Translation Podcasts 1 day ago
Under the leadership of Dr. Matthew Sparks, Communications Editor, Portfolio Lead, the ASN journals have just released our first joint podca...
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RE: Lupus podocytopathy 1 day ago
Dr.Mohammed. Thanks for this citation of a non-peer reviewed opinion paper. Unfortunately it was published before the finding of anti-nephrin antib...
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RE: Lupus podocytopathy 1 day ago
Thank you, Dr. Glassock for your explanation, the evidence is limited for case series and I would agree about the heterogenicity of the pathogenic ...
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RE: case of hypercalcemia 1 day ago
I think this person deserves a lymph node biopsy. I see that a bone marrow has been done but not a lymph node. Biopsy' of the node will give us the...
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ATGam As An Induction In Kidney Tx 2 days ago
Any one has experience with using ATGam (equine, pfizer) as an induction agent for kidney transplant recipient? If you use it , at which dose ? 5 ...
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RE: gross hematuria 2 days ago
I would compare albumin/creatinine ratio to the protein/creatinine ratio and if this is high, then the proteinuria is of glomerular origin and not ...
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RE: Membranous Nephropathy With Fouriner Gangrene 2 days ago
Unless serum PLA2R Ab is very high and as UPCR is 4 g/g, this represent low risk of progression and no need to rush for IS therapy. Agree with othe...
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case of hypercalcemia 2 days ago
49 yrs old gentleman was found to have hypercalcemia in the range of 11-14, chronic since a while. PTH suppressed in the 3 range Vit D 25 hydro...
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RE: Membranous Nephropathy With Fouriner Gangrene 2 days ago
Yes not on SGLT2 inh Odema improving with diuretics Infection improving --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH ...
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Research Idea for Nephrology Fellow ( Limited Fund ) and can be applied in limited health facilities 2 days ago
Hello folks I'm Darryl a nephrology fellow from Indonesia. Currently I will make my final thesis and looking for some idea for the research. C...
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RE: IgA nephropathy with FSGS and mesangial proliferation also mild diabetic nephropathy - treatment recommendation 3 days ago
What is rambles 3 mg? Also something happened to the biopsy report when it was pasted here as some of it is incomprehensible. I don't understand wh...
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RE: Membranous Nephropathy With Fouriner Gangrene 3 days ago
I assume not on sglt2 inhibitor? Diursese aggressively I believe edema is a risk factor for infection. Use loop thiazide and MRA if needed. ----...
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RE: Membranous Nephropathy With Fouriner Gangrene 3 days ago
Fourniers gangrene is a Urosurgical Emergency. If he has not been taken for debridement and crp is 2, it's probably not Fournier. Resolution of oed...
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RE: Membranous Nephropathy With Fouriner Gangrene 3 days ago
syphilis Serollogy negative Anti PL2 send Secondary work up going --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH Egyp...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 3 days ago
Creat 1.2 now UPCR and UACR , routine UA all wnl. Agree , not " nephrology per se, but less than adequate local rheum help (and find the two locall...
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RE: Membranous Nephropathy With Fouriner Gangrene 3 days ago
Suspected. Fournier ulcer on back ground of recently diagnosed membranous with low albumin this is the trigger for the infection and also. May be r...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 3 days ago
nl BP Creat max 1.4 (what is it now)? Normal urinalysis I think this is a rheum case not a nephrology case. I do admire your interest and p...
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RE: A regular hemodialysis in an ESRD patient with a serum HCO3- of 7 meq/l after missing dialysis for 2 weeks? 3 days ago
This reminds me of one of the arguments against giving bicarb for metabolic acidosis, Bicarb crosses the blood brain barrier slowly, but as you ...
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RE: Artifical Intelligence Clinical Applications 3 days ago
AI has a lot of potential improving CKD care. The applications so far that are more advanced range from prediction models for AKI incidence, CKD pr...
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IgA nephropathy with FSGS and mesangial proliferation also mild diabetic nephropathy - treatment recommendation 3 days ago
a 27-year-old male with persistent proteinuria, history of diabetes mellitus type 2 since last 5 years with urine protein creatinine ratio 1585 ...
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IV Iron treatment in setting of remote h/o colon cancer 3 days ago
A 87-year-old female patient with chronic kidney disease- recent creatinine 2.29 and GFR 20%. patient's hemoglobin is 7.6, percentage iron satur...
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An excellent CME and MOC free of cost, to fulfill educational requirement of DEA for providers like me who do not prescribe controlled substances in routine ! 3 days ago
https://secureknowledgeplus.nejm.org/user/profile ------------------------------ Sadeem Ali MD Bridgeport WV (612) 865-9067 ---------------------...
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RE: Artifical Intelligence Clinical Applications 3 days ago
Chat-Gpt 4o is good as one can help in finding the literature and also it helps in various topics you can write on which study was not done, like v...
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RE: Artifical Intelligence Clinical Applications 3 days ago
The best of the AI search engines, far better than Google and it gives references, is Perplexity. You can ask it diff dx of split basement membrane...
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RE: hyperaldosteronism without symptoms 3 days ago
I am curious as to whether the total colectomy may have played a causative role in increasing the serum aldosterone level. I could not find a study...
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A regular hemodialysis in an ESRD patient with a serum HCO3- of 7 meq/l after missing dialysis for 2 weeks? 3 days ago
Dear Colleagues, We are all very familiar with the pathogenesis of disequilibrium syndrome in ESRD patients and how to avoid it (a short hemodial...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 3 days ago
Addendum. I just " re-reviewed" her workup to date. Do NOT find where temp art bx ever done. Only esr of 46. Main area of evaluation was with her p...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 3 days ago
Bx done 10/22. Esr then only 46 and has never been over 60. Crp apparently not done then. No record of Ana or ANCA then either. I believe my labs w...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 3 days ago
Was the temporal artery biopsy done? Or Doppler ultrasound of the temporal artery? Was the ESR very high? ------------------------------ Satish B...
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RE: hyperaldosteronism without symptoms 3 days ago
Understood, but this patient is described as clinically euvolemic with a tendency to elevated BP prompting the aldosterone level order. If this i...
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RE: Membranous Nephropathy With Fouriner Gangrene 3 days ago
Scrotal infection can spread very rapidly and impending Fournier gangrene is a severe infection. This is not a situation that needs immediate immun...
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RE: hyperaldosteronism without symptoms Wednesday, May 15 @ 7:36 AM
That is really interesting. Agree it would be good to know what aldo and PRA are, but it should be noted that the urine volume is rather high at 3....
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RE: Membranous Nephropathy With Fouriner Gangrene Wednesday, May 15 @ 6:42 AM
If this is really Fouriers gangrene a treatment dilemma is present and I would not be comfortable with starting IS drugs until the infection is wel...
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RE: Membranous Nephropathy With Fouriner Gangrene Wednesday, May 15 @ 4:41 AM
This impending Fournier gangrene was impression of urologist I donot know what he mean He kept him on dalacine 600 mg tds His response to Lasix is ...
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RE: Membranous Nephropathy With Fouriner Gangrene Wednesday, May 15 @ 4:06 AM
I am a little unclear what you mean by "impending Fourniers gangrene". Is fever present? Is a painful, necrotizing fasciitis present? What kind of ...
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RE: hyperaldosteronism without symptoms Wednesday, May 15 @ 1:44 AM
Dr. Mellas, the high urine volume is very unusual as the patient is volume depleted but I guess this can happen if the patient is in a catabolic st...
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Membranous Nephropathy With Fouriner Gangrene Wednesday, May 15 @ 1:30 AM
Hi all I need you opinion In 56 male HTN 2 year not Diabetic presented by generalized anasarca and scrotal odema impending fouriner gangrene Cr 1...
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RE: Artifical Intelligence Clinical Applications Tuesday, May 14 @ 3:34 PM
There are multiple models of AI application through embedding of algorthims in EMR. So far the results are variable and dependent on the characteri...
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RE: Lupus podocytopathy Tuesday, May 14 @ 3:25 PM
Dr. Mohammed - with all due respects to your opinion concern a T-cell mediated process as the pathogenesis of "LupusPodocytopathy" the evidence sup...
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Artifical Intelligence Clinical Applications Tuesday, May 14 @ 1:03 PM
I've searched for use of AI in Nephrology and have found plenty of research on it's utility, such as being able to predict AKI before lab. ABN and ...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. Tuesday, May 14 @ 12:58 PM
I find the local rheumatologists to be very conservative i.e. rarely consult nephrology for lupus pts; or don't get anti-gbm titers on pts with sig...
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RE: Lupus podocytopathy Tuesday, May 14 @ 11:17 AM
This is very informative, thanks a lot. ------------------------------ Amaar Bakhit, MD Consultant Nephrologist King Saud University Medical City...
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RE: Lupus podocytopathy Tuesday, May 14 @ 11:06 AM
Several cases of lupus podocytopathy have been associated with nonsteroidal anti-inflammatory drug use in patients with SLE however, the pathogen...
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RE: Lupus podocytopathy Tuesday, May 14 @ 11:02 AM
Thank you very much for your response and valuable opinion. ------------------------------ A. Bakhit, MD Consultant Nephrologist KSUMC Ri...
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