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 22: Issue 4 (Feb 2024): Pregnancy and Kidney Disease is now available online.
RE: Transplant Question Cd68 Cell 12 Years. Post. Alentuzumab 1 hour ago
Thanks dr venkat for r Helpful explanation as well as prof glassock and dr lerman Bw --------------------------------- Muhammad Soobadar MBChB ...
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Access to dialysis morbid obese non mobile 11 hours ago
Question for the community 65 y F morbid obesity unable to move advanced CKD DM HTN.Started HD via catheter during a hospital stay for fluid overlo...
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RE: NSAIDS and CKD 18 hours ago
Thank you, I have found this discussion useful, if not for the EMR initiative then for my own knowledge (Thanks for the 360 pro/con reference lin...
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RE: NSAIDS and CKD 19 hours ago
Dr. Cronin- I hope you have found this extensive discussion of NSAID helpful for planning your EMR project. On balance, the comments do not engen...
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RE: NSAIDS and CKD 22 hours ago
Just to get back to my suggestion that NSAIDs are actually renoprotective, I want to share some important comments from Professor Rodby, who exhibi...
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RE: NSAIDS and CKD 22 hours ago
I think EMR prompts for NSAID use is pandora's box. It would frighten anyone away from using them (not individualized decision as proposed based on...
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RE: PKD by US/MRI. Negative genetic testing. 1 day ago
As usual. Dr. Hirsch offers sage observation on the dilemma posed by the patient in this post. I am reminded of the famous Carl Sagan quote (dealin...
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RE: PKD by US/MRI. Negative genetic testing. 1 day ago
Opinion: I would not assume that water loading has the "same benefits" as talvaptan in PCKD (I believe a comparison study is ongoing?) In fact, one...
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RE: PKD by US/MRI. Negative genetic testing. 1 day ago
Good question. Tolvaptan is lifetime therapy with issues of side effects and Non compliance and I still have uncertainty about the diagnosis of ADP...
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RE: PKD by US/MRI. Negative genetic testing. 1 day ago
Dr. Glassock, Please explain to me why you not recommending Tolvaptan although you still believe this is APKD. ------------------------------ ...
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RE: Renal Biopsy On Mechanical Ventilation 1 day ago
An important question, to which I have only a limited response. Anti-PL are a well recognized response to infection (and certain immunizations) . T...
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RE: NSAIDS and CKD 1 day ago
Dr. Campese- i fully understand your distinction between prudence and avoidance. When the alternatives are opioids, I think that prudence overcom...
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RE: NSAIDS and CKD 1 day ago
I would not use the term mandatory, but in the situations I outlined (there may be others) I believe prudence would suggest avoidance of NSADs and ...
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RE: NSAIDS and CKD 1 day ago
There is nothing truly mandatory in Medicine, but in the situations I outlined (there may be others) prudence would suggest avoidance of NSADs and ...
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RE: NSAIDS and CKD 1 day ago
Dr. Campese - do your recommendations apply even when the pain requires opiates? Your suggestions seem to support the notion of mandatory avoidance...
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RE: NSAIDS and CKD 1 day ago
I think there are certain situations we can agree NSAIDs should not be used. Here are some: Uncontrolled hypertension Patients with liver cirrh...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy 1 day ago
I suppose that it will be difficult to ascribe the apparent improvement of kidney function to therapy in this patient, as a spontaneous remission i...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy 1 day ago
Thanks for the Follow-up. Are you withdrawing the steroids? ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-88...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy 1 day ago
Good evening Anti-streptolysin O antibody( ASOT ) done and was negative < 200 she is now non-oliguric AKI, off HD, creatinine slowly improvi...
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Tomorrow's AKINow Panel Discussion: Building Repositories 1 day ago
Tomorrow (April 18) at 12 p.m. EDT, AKINow will host a virtual panel discussion to teach the nephrology community how to build an AKI or kidney rel...
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RE: NSAIDS and CKD 1 day ago
I agree with Dr. Glassock. I do not think it is currently possible to put such prompts or red flags easily into the EMR. There are too many factors...
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RE: PKD by US/MRI. Negative genetic testing. 1 day ago
Based on what we know now, i would not recommend Tolvaptan, but I would encourage a high water intake. Other opinions welcome! ------------------...
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RE: NSAIDS and CKD 1 day ago
Can this good advice be fostered by introducing prompts or red flags into the EMR. At present, I do not think that this is possible.. ----------...
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RE: NSAIDS and CKD 1 day ago
I recommend cautious use but not avoidance. Individualize NSAID prescription folks! ------------------------------ Mark Perazella MD, MS, FASN Ya...
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RE: Renal Biopsy On Mechanical Ventilation 2 days ago
Thank you prof.Glassock You put me in the right way from first day This antibodies needed to be repeated after 12 w?? Just I know for myself whe...
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RE: Renal Biopsy On Mechanical Ventilation 2 days ago
The patient is behaving like ATN, not crescentic GN or a TMA. The antiPL antibody is most likely secondary to infection. No indication for a kidney...
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RE: Renal Biopsy On Mechanical Ventilation 2 days ago
Cr going down 190 Uo 2400 ml /day Plat improved 200,wbc. 5 , HB 9 --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH Egyp...
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RE: Renal Biopsy On Mechanical Ventilation 2 days ago
Thanks for the update. Current SCr/eGFR and hematological status/TMA parameters? ------------------------------ K.K. Venkat MD Troy MI (248) 420 ...
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RE: Renal Biopsy On Mechanical Ventilation 2 days ago
I have update This patient thankfully weaned from MV ANTI B2 GLYCOPROTIEN: Ab IgG Normal Range IgG 120 ANTI CARDIOLIPIN IgM :: Normal Rang...
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RE: NSAIDS and CKD 2 days ago
Great comments. The link you posted is not working. Please revise it. Thank you https://www.nejm.org/doi/full/10.1056/NEJMoa1611593 -----------...
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RE: NSAIDS and CKD 2 days ago
Thanks for pinging me @David Goldfarb! Excellent comments and most points I would make are already done. In almost all the epidemiological stud...
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RE: NSAIDS and CKD 2 days ago
Just to add to the literature here, this is a review that I asked @Swapnil Hiremath to write for Current Opinion which wisely makes "the case for c...
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RE: NSAIDS and CKD 2 days ago
I find my experience with iv toradol is supportive of mild to moderate AKI in a variety of clinical situations such that the event that precipitate...
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RE: NSAIDS and CKD 2 days ago
I would make a distinction between "avoid" and "use with caution". Certainly, there are situations were NSAIDs should be avoided: For example, p...
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RE: NSAIDS and CKD 2 days ago
I doubt we have good data on the risk of high K in patients in patients given NSAIDs on top of dual RASI as the latter is a relatively recent strat...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy 3 days ago
Interesting , thank you Dr Richard Will wait the EM report Dr saja ------------------------------ Saja Mohammed MD, MBChB, MS Doctor SQUH ...
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RE: NSAIDS and CKD 3 days ago
For what it's worth, these pro, con and commentary articles from Kidney360 in November 2020 are a really nice summary of exactly that. Si...
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RE: NSAIDS and CKD 3 days ago
I fully agree with the comments from Drs. King , Rodby and Hirsch about the "danglers " of NSAID in CKD and the "hazards" of developing an EMR meth...
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RE: NSAIDS and CKD 3 days ago
I agree. My main concern for NSAIDs in CKD is hyperkalemia, esp in pts with dual RAASI and/or advanced CKD Also, in any modern era patient on dua...
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RE: NSAIDS and CKD 3 days ago
This is such an important discussion IMO, but no suppose I am a NSAID non-fearer. MCD with AIN is idiosyncratic and rare CKD causation and prog...
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RE: gross hematuria 3 days ago
Notice u did a CT pyelogram. Was a CT angio done at that time? Some lesions would pop up only on the angio. Overall it does sound like a urology is...
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RE: gross hematuria 3 days ago
caucasian rbcs were not dysmorphic. when I spoke to urology , cysto did not identify any source of bleeding. they were surprised given the ong...
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RE: gross hematuria 3 days ago
Ethnicity? Dysmorphic RBCs? During cystoscopy was blood coming from ureter or urieters? ------------------------------ [Mark] [Lerman] [MD,FASN,F...
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RE: NSAIDS and CKD 3 days ago
I would love a reopening of the whole "avoid NSAIDs" discussion. In my practice, I see large numbers of patients with opioid use disorder leading...
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RE: NSAIDS and CKD 3 days ago
In my opinion, an effort of develop EMR prompts regarding the use of NSAIDs in "CKD" will be a very difficult and unrewarding task. Maybe, once AI ...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy Monday, April 15 @ 7:19 AM
See Wen Y-Ket al Renal Failure 2010; 32; 1025-1031. About 13% of cases showing "full house" deposition had Post-infectious GN. This case certainly ...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy Monday, April 15 @ 7:04 AM
Thanks- if the EM shows findings compatible with PIGN ( lots of sub-epithelial hump-like deposits and a paucity of sub-endothelial deposits ) I pro...
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IgA with Acute Kidney Injury Monday, April 15 @ 6:38 AM
Present a case of a 60 y/o white male sent to me from his cardiologist for "difficult to manage hypertension and abnormal renal function with prote...
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RE: seronegative lupus nephritis or the new terminology of the non-lupus -fullhouse nephropathy Monday, April 15 @ 5:26 AM
Thank you dr Richard for your valuable response regarding the question about the LM findings was suboptimal sample contain only 4 glomeruli o...
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RE: PKD by US/MRI. Negative genetic testing. Monday, April 15 @ 2:46 AM
I think that the enlarged kidneys suggest ADPKD, possibly due to a de novo mutation.in PKD1 not detected by standard genetic screening. The questio...
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