RE: Case of intermittent Hyokalaemia with preserved kidney function 2 hours ago

The "intermittent " hypokalemia appears real. I assume that the serum Mg is in mMol/L -is this correct. ? Did you ever measure a serum aldosterone ...

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RE: Determining kidney function from DCD graft with prolonged cold ischaemia time. 4 hours ago

The iBox is available as an online calculator (www.paristransplantgroup.org) and can be computed at any time post-transplant, typically at protocol...

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RE: SLE and HUS 4 hours ago

I agree with Dt. Rodby. ------------------------------ Richard Glassock MD, FASN Emeritus Professor Geffen School of Medicine at UCLA Laguna Wood...

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RE: Determining kidney function from DCD graft with prolonged cold ischaemia time. 4 hours ago

Hello Dr. Soobadar, Thank you for sharing this interesting case. Although there is no perfect method to accurately predict post-transplan...

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RE: Case of intermittent Hyokalaemia with preserved kidney function 5 hours ago

Urine pH 8.5 is never "normal" and represents infection or renal response to hyperventilation or intake of base, citrate, NaHCo3 etc. You say he...

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RE: Doac Use In pD 6 hours ago

thanks prof rodby and prof glassock ------------------------------ Muhammad Soobadar MBChB UK ------------------------------

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RE: Doac Use In pD 6 hours ago

doac for non valvular af doac for VTE prophylaxis Doac for VTE Treatment and all above for PD patients ------------------------------ Muhamma...

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RE: Case of intermittent Hyokalaemia with preserved kidney function 6 hours ago

clinic potassium is normal, thyroid function is normal any thoughts ? no medication or OTC ------------------------------ Muhammad Soobadar...

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RE: Case of intermittent Hyokalaemia with preserved kidney function 6 hours ago

blood and urine test ------------------------------ Muhammad Soobadar MBChB UK ------------------------------ Files Attached DocumentRE: Case of...

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Case of intermittent Hyokalaemia with preserved kidney function 6 hours ago

44 female DIAGNOSES: Uterine fibroid Migraine Iron deficiency anaemia Previous elective Caesarian delivery Previous appendicectomy REASON...

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RE: Determining kidney function from DCD graft with prolonged cold ischaemia time. 6 hours ago

DSA not done . we do not use cf DNA? Urine acr 20 mg/mmol ------------------------------ Muhammad Soobadar MBChB UK ----------------------...

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RE: SLE and HUS 6 hours ago

As both Dr Glassock and I have pointed out, this is a presentation of aHUS and this is supported by the biopsy, and whatever lupus she may have thi...

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RE: SLE and HUS 7 hours ago

Thank prof Richard Glassock As her clinical presentation and initial response to systemic lupus erythematosus (SLE) and lupus nephritis and...

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RE: SLE and HUS 7 hours ago

Thank you, Dr Emilio her initial presentation was back to late 2015/2016 with sever auric AKI supported with HD for 3 months and treated on the...

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RE: Help me make sense of this 24 hr urine study for stones. 8 hours ago

Thanks for the follow up information from the CT scan. It is not uncommon for a patient to have both Ca and uric acid stones. I would use sodium al...

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RE: SLE and HUS 8 hours ago

I am quite confused. You say that the kidney biopsy shiws no findings of LN, yer she has a homozygous mutation of a gene that causes LN and she is ...

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RE: Determining kidney function from DCD graft with prolonged cold ischaemia time. 8 hours ago

What is current serum creatinine ? UPC ? DSA? DD-cfDNA? ------------------------------ [Mark] [Lerman] [MD,FASN,FACP,FAST] AST KPCOP EC [Past Med...

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RE: SLE and HUS 9 hours ago

I think this patient needs eculizumab. ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Nephrolog...

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RE: SLE and HUS 10 hours ago

Dear Saja, I have seen cases with Both aHUS and SLE, you know lupus can trigger aHUS, and you are right, should always investigate for aHUS in a lu...

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RE: Doac Use In pD 11 hours ago

The key issue is "for what indication" . Please clarify your question and make it more precise. The role of DOAC in management of embolism risk in ...

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 11 hours ago

In my opinion, the evidence for recurrent IgAN is weak, and immunoperoxidase staining and EM ot the transplant biopsy suggests that something else ...

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Determining kidney function from DCD graft with prolonged cold ischaemia time. 12 hours ago

60 M who had a DCD renal transplant on 26/02. HLA mismatch of 1:0:1. He required one session of HD post transplant on 28/02. Had a long CIT of 24hr...

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 12 hours ago

urine dipstick no microscopic haematuria ------------------------------ Muhammad Soobadar MBChB UK ------------------------------

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 22 hours ago

on MMF single therapy and now anaemic too ------------------------------ Muhammad Soobadar MBChB UK ------------------------------

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 22 hours ago

posted above biopsy done in 2014 no dsa ------------------------------ Muhammad Soobadar MBChB UK ------------------------------

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 22 hours ago

Clinical Details: Thirty-five year old female. Renal transplant (living-related donor) 2009 for IgA nephropathy. Raised creatinine last 18/12, 100 ...

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RE: Help me make sense of this 24 hr urine study for stones. 1 day ago

Hi Asplin, Some more feedback on this patient. I was able discuss the CT Scan with the radiologist finally. The right 5 mm kidney stones if 44...

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RE: SLE and HUS 1 day ago

Dr. Saja very interesting case. I have no experience in patients with monogenic lupus, can you explain what led you to pursue genetic testing? As...

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RE: Debating taking boards, what rec's would you have for study materials/Courses? 1 day ago

I got two pearls, is there a place where they are colated? ------------------------------ Nimra Sarfaraz, DO (516) 637-3820 nimras@gmail.com ---...

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RE: Doac Use In pD 1 day ago

for what indication, I use DOAC for everything that DOAC's are used for in non ESRD, but I cut the dose of elequis to 2.5 bid ----------------...

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RE: Debating taking boards, what rec's would you have for study materials/Courses? 1 day ago

https://www.ajkd.org/pb/assets/raw/health%20advance/journals/yajkd/AJKD%20-%20Atlas%20of%20Renal%20Pathology.htm ALso did you not get weekly PEAR...

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RE: SLE and HUS 1 day ago

Thank you, Dr. Venkat. The APL screen was negative. Regarding the initial positive ANA at the time of presentation in 2015, the results were ...

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 1 day ago

Dear Dr. Muhamad, Is there any evidence of microscopic hematuria? Recurrence of IgA nephropathy is still possible even in the absence of prote...

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RE: SLE and HUS 1 day ago

Anti-phospholipid antibody screen results? Did she ever manifest hematological features of TMA/HUS, or was it only renal-limited TMA? What were the...

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RE: Debating taking boards, what rec's would you have for study materials/Courses? 1 day ago

l I intentionally posted here bc this community is so active and lol'ed bc the responses are from those who were/are involved in writing questions....

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RE: Debating taking boards, what rec's would you have for study materials/Courses? 1 day ago

NephJC is so awesome, their podcast is great too. I'll check out KSAP ------------------------------ Nimra Sarfaraz, DO (516) 637-3820 nimras@gm...

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RE: Debating taking boards, what rec's would you have for study materials/Courses? 1 day ago

thanks so much, those flash cards are great and the Q banks that came with the course too. I will check out renal fellow network Would you hvae a...

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 1 day ago

Was EM done or available on biopsies? Absence of proteinuria calls into question though does not completely exclude recurrent IGAN or Lupus or othe...

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Doac Use In pD 1 day ago

Hi any colleagues have opinion in Doac and use in PD Bw

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RE: Dual Vascultis / Sle 1 day ago

We tend to use 2 pulse cyclo for Anca Vascultis combined with ritux but have avoided cyclo as pt is elderly many thanks -------------------------...

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SLE and HUS 1 day ago

Dear all I would like to discuss an interesting case and share an expert opinion regarding the long-term management plan for a 29-year-old Oman...

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RE: Membranous Nephropathy Clinical Case 1 day ago

This patient with PLA2R Primary MN is in complete immunological remission induced by by RTX- no further IS , including CNI is indicated. The residu...

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RE: Fibronectin glomerulopath 1 day ago

In my opinion the EM findings are quite compatible with Finronectin glomerulopathy and exclude "idiopathic nodular glomerulosclerosis" If you think...

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 1 day ago

I agree with Dr. Venkat - the immunoperoxidase studies and the low C4/C4 call into question the. Diagnosis of "recurrent IgAN". What are the eGFR a...

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RE: Debating taking boards, what rec's would you have for study materials/Courses? 1 day ago

So since we are being transparent about our COI's, my suggestion to use BRCU practice questions and the Pearls and the Flash cards (I was co-Driect...

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RE: Membranous Nephropathy Clinical Case 1 day ago

Thanks for your comments. The patient received more than 30 gr of Cyclophosphamide without response. At some point tends to respond to Cyclosp...

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RE: dealing with CRS in ATG use as induction or treatment of ABMR 1 day ago

"First Biopsy 23/12/25 2nd Biopsy attached 02/05/26" Dr. Soobadar: Can you please post serum creatinine trends between the first and second biops...

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 1 day ago

"Immunoperoxidase studies show glomerular staining for IgA, IgG, IgM, C3 and C1q." This sounds like "full house" pattern. Lupus serology especial...

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 2 days ago

Immunoperoxidase studies show glomerular staining for IgA, IgG, IgM, C3 and C1q. Results-Comments In the clinical context of this case (?? ESRF s...

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RE: Transplant Case- can recurrent Ig A in transplant patient present without proteinuria and midly low C3 and more significant lower C4. 2 days ago

Specimen Type: Renal transplant biopsy Clinical Details: Directly entered by electronic request:47 year old with Live donor transplant from mothe...

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