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.
Catheter removal and delayed insertion Vs Guidewire exchange of catheter in patients with CRBSI ( Catheter related blood stream infection) 14 minutes ago
Subject: Inquiry about CRBSI management Dear All, I am seeking your opinion on the best possible management in CRBSI for a 56-year-old ge...
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RE: Transplant Question 43 minutes ago
Would people try mpa again despite side effects or increase dose of azathioprine 1mg /kg to 2 mg/kg Bw --------------------------------- Muhamma...
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RE: SIADH vs Cisplatin Induced Salt Wasting Nephropathy 52 minutes ago
The data provided do not make sense. The patient has AKI probably induced by cysplatin. In the presence of AKI you cannot make a diagnosis of SI...
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RE: SIADH vs Cisplatin Induced Salt Wasting Nephropathy 1 hour ago
As has been discussed in a series of prior posts on this forum. Making a Diagnosis of SIADH is very difficult or impossible in the presence of adva...
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RE: Solitary kidney and biopsy 2 hours ago
Percutaneous biopsy of a solitary kidney (PKB) is considered a relative contraindication, which means of course that it can be done. the small case...
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RE: Sjogren Syndrome With TIN and Uremia 2 hours ago
Deserves a trial of rituximab. There is severe arteriosclerosis, arteriolar hyalinosis and ischemic gloms. Is the patient hypertensive? There ...
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RE: SIADH vs Cisplatin Induced Salt Wasting Nephropathy 4 hours ago
Urine osmolality is 260 mosm/kg. If we suppose all solutes in urine is sodium and associated anion (of course it is wrong), then urinary sodium wou...
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RE: Sjogren Syndrome With TIN and Uremia 5 hours ago
Attached biopsy report. --------------------------------- Hayder Aledan MD, FASN Assistant Professor Basra Nephrology and Transplantation Cen...
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Sjogren Syndrome With TIN and Uremia 6 hours ago
A 60-year-old woman was consulted me for second opinion, she was diagnosed by rheumatologist from other country as Sjogren syndrome before 1 month ...
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SIADH vs Cisplatin Induced Salt Wasting Nephropathy 6 hours ago
A 70-year-old man with pancreatic cancer recently started on chemotherapy (Cisplatin) was consulted to our team because of AMS. His baseline serum ...
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RE: Treatments Of Primary Membranous Nephropathy 9 hours ago
What is the serum anti-PLA2R antibody level and the serum albumin concentration.? The results of these tests will help to determine when and how to...
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Treatments Of Primary Membranous Nephropathy 12 hours ago
73 -year-old female who presents with Dyspnea, uncontrolled hypertension, edema and AKI with creatinine 2.9 mg/dl up from baseline 1.5-1.8 mg/dl. 2...
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RE: persistent post infectious GN 14 hours ago
Upcr to start was 14 (early May)and repeat up cr was at 10, (5/28/24)and 11 g is a timed collection. Sent via the Samsung Galaxy S24 Ultra, an ...
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RE: persistent post infectious GN 16 hours ago
"11g proteins and 2.3 g creatinine- with a clearance of 47.4" Dr. Iyer: Isn't 11 grams of protein higher than before? However, creatinine clearan...
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RE: ABMR In Kidney After Liver TX 18 hours ago
I would still favor a molecular biopsy if it's available and if shows ABMR or mixed AR then would proceed with Plex/IVIG unless creatinine returns ...
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RE: ABMR In Kidney After Liver TX 18 hours ago
"MFI of 2000 is low for ABMR but it may be falsely low due to prozone phenomenon." this is possible but can be excluded with serial delutions and...
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RE: O K dialysate 19 hours ago
While we are waiting for CRRT experts to weight in , there are 0 k bath dialysste solutions available from different companies but I have never nee...
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RE: O K dialysate 20 hours ago
Sorry- i am confused- would any of the "experts" in CRRT on the Open Forum ever recommend a zero K fluid replacement for a patient with hyperkale...
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RE: persistent post infectious GN 20 hours ago
A great GlomCon session was held this AM with Geetika Singh of Delhi, India as the presenter and Surya Seshan of Cornell Medical College as the Mod...
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RE: O K dialysate 21 hours ago
Have never used less than 2 k bath with IHD regardless of serum K . Either inpatient or outpatient very concerned of causing arrhythmias . Cases wh...
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RE: Board review courses 22 hours ago
I was CO-director of the BRCU from 2017-2023. The original BRCU a while before me was 7 days of intense lectures, then it went to 6 days. After Cov...
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RE: O K dialysate 1 day ago
Von meinem iPad gesendet
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RE: persistent post infectious GN 1 day ago
Thanks for the follow up. Good news. Of course, this might be "spontaneous, related to anti-microbial therapy or to steroids or all three in some m...
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RE: persistent post infectious GN 1 day ago
11g proteins and 2.3 g creatinine- with a clearance of 47.4 ------------------------------ Viswanathan Iyer MD,FACP,FASN Harrisburg PA 717342 47...
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RE: persistent post infectious GN 1 day ago
Truly thank the messages. Updates are echo is clean I had him in house for a day- and got a 24-hour urine too. it's reassuring-there seems to ...
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RE: O K dialysate 1 day ago
It's interesting to note the irony in discussing O K bath in CRRT when unlike HD, CRRT almost by definition is used in patients with cardiac instab...
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RE: persistent post infectious GN 1 day ago
Thanks Dr. Aledan. How well documented is the claim that lambda LC predominance is not seen in IgA-IRGN.? I am unable to find any published literat...
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RE: persistent post infectious GN 1 day ago
The biopsy IF results is suggestive for IgA dominant infection related GN (3+ C3 and 2+ IgA), but predominance of Lambda light chain 3+ compared to...
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RE: TCM in dialysis 1 day ago
My understanding is that you can in fact bill TCM in dialysis unit, but need separate note (can't have one note for both MCP visit and TCM). You do...
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RE: TCM in dialysis 1 day ago
In our DIALIZE study we had pre- and post-HD K results. HD lowers K by > 2meq/L and the MID study showed the large number of intra-dialytic and per...
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Leucopenia Posr Valgancyclovir 1 day ago
A 50 y F 3 months post LRKT with stable graft function has got recent high grade fever, pneumonia with CMV viremia ( CMV PCR 3500) treated with val...
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RE: Transplant Question 1 day ago
2 renal transplant us pre biopsy good perfusion, mild Hydronephrosis nil acute 3 calcium 2.47 ( 2.14-2.56) always normal albumin 53 (35-50) always...
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RE: Transplant Question 1 day ago
@dr lerman 1 - azathioprine 75 mg od, famotidine 20 mg od, lansoprazole 30mg od , prednisolone 5 mg od, beclometasone , amlodipine 10 mg of atorva...
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RE: persistent post infectious GN 1 day ago
..use of ”canonical” here may be a little boisterous, one was impressed in the way the timeline appears to march sequentially through the three con...
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RE: persistent post infectious GN 1 day ago
Dr. Tijani - what do you consider canonical evidence of PSGN? Everything in the patients history, laboratory findings and pathology points toward a...
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RE: persistent post infectious GN 1 day ago
In my view, there are at least three independent conditions in this case, all bridged by a complex inflammatory response. -first is the AKI, indu...
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RE: O K dialysate 1 day ago
@J. Pedro Teixeira in a patient with AKI on vasopressors in the ICU and on mechanical ventilation with a serum K of 6.5 mmol/l and above, what moda...
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RE: O K dialysate 1 day ago
In IHD, we can augment K removal by using 0 glucose dialysate and low HCO3 profile as both of these factors may cause shift of K intracellularly af...
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RE: O K dialysate 1 day ago
Even when the potassium is 7 or 8, I will use the 4K bath to prevent rapid lowering of potassium. If I get it to 5.5 from severe high K, I think th...
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Board review courses 1 day ago
As a general nephrologist most of my time is spent taking care of patients . I update myself by KSAP and Nephsap although neither are meant to be r...
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RE: O K dialysate 1 day ago
I agree with the concept that if rapid lowering of K is needed, of course, HD is superior. However, I definitely have used CRRT to treat life-threa...
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RE: ABMR In Kidney After Liver TX 1 day ago
This is an interesting case which provides an opportunity to observe that ABMR should not be considered as a Yes/No phenomenon. It is an entire spe...
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RE: ABMR In Kidney After Liver TX 1 day ago
Did the patient received antibiotics or NSAIDs before the observed increase in serum creatinine. Tubulointerstitial nephritis may be misinterpreted...
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RE: ABMR In Kidney After Liver TX 1 day ago
Given absence of C4d PTC positive and low level (? Pathological ) DSA and clinical improvement with out PLEX/IVIG , is this ABMR? You might conside...
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TCM in dialysis 1 day ago
Hello forum members, This forum has been a great resource to address questions. I learn something new each day ! Had a question about billing...
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RE: O K dialysate 2 days ago
Has anyone ever seen or heard of a hyperkalemic patient die of hyperkalemia AFTER starting dialysis (at least after the first couple minutes, which...
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RE: O K dialysate 2 days ago
Questions. Do we know the risk of arrythmias when CRRT with a zero K concentration in fluid replacement is used for treatment of hyperkalemia? Wouk...
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RE: O K dialysate 2 days ago
I generally agree with the previous comments. Having said that, I have used a 0 K bath in life threatening hyperkalemia (K 9 or even greater) durin...
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RE: O K dialysate 2 days ago
Agree with Dr. Rodby that rapid K lowering with a risk of arrhythmia occurs in 4 hr HD, while in CRRT the removal is slow and depend mainly on effl...
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RE: persistent post infectious GN 2 days ago
This us not an easy question to answer, as many bacterial and viral infections can exacerbate an acute relapse of pre-existing Primary IgA N, whils...
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