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 4 (Oct 2024): Chronic Kidney Disease is now available online.
RE: KFRE 9 hours ago
KFRE is only valid in CKD stage 3A -5. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ------------------...
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RE: Renal Biopsy Post Plex 10 hours ago
Octoplas as replacement fluid for PLEX should reduce the risk of bleeding after Kidney Biopsy, compared to 5% albumin replacement fluid for PLEX. ...
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RE: PGNMID 10 hours ago
I think you should complete your search for a clone with a bone marrow biopsy and if enlarged Lymph Norse are found on exam or CT, these should be ...
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Renal Biopsy Post Plex 11 hours ago
Is there any increased risk of bleeding in patient undergoing renal biopsy after plasma exchange with octoplas? Thanks
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PGNMID 11 hours ago
Hello all, I would appreciate your thoughts on this patient. 31 year old female patient initially presented in 2019 with hematuria sub-nephrotic...
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RE: Teriflunomide / Leflunomide TDM 11 hours ago
Interesting question. How strong is the evidence that any kind of TDM for teriflunomide or leflunomide improves outcome in RA or kidney disease. So...
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Teriflunomide / Leflunomide TDM 11 hours ago
Hi all, Can I please get your insight and experience with teriflunomide / leflunomide TDM? So far I have gathered that the sample taken needed ...
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RE: KFRE 13 hours ago
What is his eGFR and urine albumin now?When was the uninephrectomy performed? Do you happen to know his birthweight ? ---------------------------...
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RE: Access Issue With Recurrent Bactaeremia 15 hours ago
I assume endocarditis has been looked for with a TEE. Ifyou are concerned about eptic thrombophlebitis as the source of recurrent Staph. aureus bac...
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RE: KFRE 16 hours ago
Thanks prof glassock. This patient had renal cell cancer and right nephrectomy . --------------------------------- Muhammad Soobadar MBChB UK --...
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RE: KFRE 16 hours ago
I do not think that this question has been studied, but I suspect that it would give an underestimate of true risk, but it would all depend on the ...
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RE: Access Issue With Recurrent Bactaeremia 18 hours ago
If his cultures are currently negative you should proceed with fistula and make him take good care of it. History generally repeats itself and he i...
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RE: Apply today!! Travel Support Scholarship for Nephrology Fellows to attend Annual Dialysis Conference, Las Vegas 2025. 19 hours ago
Hello ! In the attachment is my Case regarding complexities of managing dialysis in patients with mental health challenges and the unique int...
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RE: Access Issue With Recurrent Bactaeremia 19 hours ago
Yes there was a line holiday before new tunnelled line was inserted . Blood cultures were negative before new line went in. Patient refuses to hav...
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KFRE 19 hours ago
Is KFRE equation valid in patients with single kidney ? Bw
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RE: Access Issue With Recurrent Bactaeremia 1 day ago
was there a "line holiday" between lines? "He has agreed to have line out 5 days post admission and is on iv flucoxacillin." looks like yes but I a...
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Access Issue With Recurrent Bactaeremia 1 day ago
Hi everyone , I have slightly challenging case in terms of vascular access and recurrent s aureus bactaeremia. 34 male previous failed transplant ...
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RE: Renal Artery Stenosis Case 1 day ago
I will find out about nsaid No Doppler but ct Angio Bw --------------------------------- Muhammad Soobadar MBChB UK -----------------------------...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago
Anass: 4 qstns: 1. how many Hrs of HD each time plz? Lengthening the time may be very helpful2. Is potential improvement in compliance entirely dep...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago
The BP was initially controlled then rose again. Reminds me of a case I had of a patient whose BP was controlled after surgical renal sympathecto...
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RE: igan nephropathy 1 day ago
AKI with gross hematuria following an URI in IgAN has been repeatedly described in the literature since the early 1980's. Most cases will spontaneo...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago
According to your records, on 12/03/2023 and on 27/03/2023 the patient underwent embolization of the left kidney. What was the indication for embol...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago
A few comments; a 20 yo female with ESKD with psychological/financial issues raises the question of medication compliance. Quite difficult for such...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago
The main cause of HTN in majority of cases in dialysis patients is excesses of total of body water (TBW) and excesses of total body Na (Removing th...
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RE: Mulytidrug resistant Nephrotic syndrome 1 day ago
Great comment. Gave you seen favorable responses ro Obi in patients with secondary (late) treatment unresponsive NS and FSGS lesions ? ----------...
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igan nephropathy 1 day ago
Good morning, I saw a 18 y/o Male who presented to hospital with chief complaint of gross hematuria and Acute kidney Injury (creatinine up to 2 ...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago
Has anyone studied the effects of renal denervation in a dialysis patient with resistant hypertension after bilateral renal embolization.? I cant f...
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RE: Mulytidrug resistant Nephrotic syndrome 1 day ago
We have had excellent response to IV Obinutuzumab. Recently presented our data at ASN meeting. ------------------------------ Isabel Roberti MD, ...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago
I had experience of one such patient where the BMI was low. All efforts to control hypertension failed Finally Bioimpedence suggested volume ove...
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RE: AKI with IGA Nephropathy 1 day ago
Wonder if gross hematuria and tubular obstruction by RBCs may beplaying a role (a la, warfarin nephropathy). Gross hematuria without warfarin/high ...
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RE: Podocyte Talk - weekly nephrology audio summary 1 day ago
Thank you for this explanation. Good lick with your project. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 1 day ago
thank you professor for your reply ------------------------------ Anass Qasem Fellow Ibrahim Bin Hamad Hospital ------------------------------
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RE: Podocyte Talk - weekly nephrology audio summary 1 day ago
This a YouTube channel dedicated for nephrology updates on weekly basis. I will publish an audio summary of recent article in nephrology. Duration ...
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RE: resistant hypertension in hemodialysis patient even after bilateral renal embolization 2 days ago
Difficult case. I assume that the patient has been rendered functionally anephric by the bilateral renal artery embolization procedure. If so, the ...
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RE: Podocyte Talk - weekly nephrology audio summary 2 days ago
Please inform us if this "Chat Room" will be commercially sponsored and will it be accompanied by advertisements for commercial products,? Who will...
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resistant hypertension in hemodialysis patient even after bilateral renal embolization 2 days ago
A 20 years old female patient, Known case of ESRD on regular hemodialysis admitted on due to uncontrolled hypertension. The first visit of the p...
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Podocyte Talk - weekly nephrology audio summary 2 days ago
I would like to get your feedback on this initiative Podocyte talk **Welcome to Podocyte Talk** we will cover a wide range of topics, includin...
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RE: preoperative hyponatremia 2 days ago
Dear Dr. Sinasi, Thank you for your valuable input. My approach to managing these cases is as follows: For elective surgeries, I would wai...
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RE: Re: pt with resistant HTN 2 days ago
Dr. Glassock, yes, I was referring to the combination beta-blockers and clonidine tabs. This combination should be discouraged. A different story...
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RE: preoperative hyponatremia 2 days ago
Now, what to do? STOP ACEi/ARB - they favor hyponatremia STOP NSAIDs - they block the way recovering medullary / tubular diluting capacity ST...
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RE: Re: pt with resistant HTN 2 days ago
Dr. Campese - Are you referring to the problem with Clonidine-Beta Blocker combinations or to anti-hypertensive therapy, in general. Do you ad...
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RE: Re: pt with resistant HTN 2 days ago
Patients who participate to studies tend to be more compliant than the general population. The problem occurs primarily among patients who take me...
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RE: Discrepancy in the Albuminuria in the Setting of Type 1 Diabetes Mellitus 2 days ago
The patient has Schmidt syndrome or polyglandular insufficiency Type 2B. And might be at lower risk of developing Diabetic Nephropathy. A kidn...
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RE: Re: pt with resistant HTN 2 days ago
Having Clonidine on board when beta -blockers are concomitantly used is "bad" because if Clonidine is stopped, the Clonidine withdrawal syndrome in...
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RE: Mulytidrug resistant Nephrotic syndrome 2 days ago
One uses the same columns that are used for LDL Apheresis in treatment of Homozygous Familial Hypercholesterlemia.The problem with using concentrat...
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RE: Re: pt with resistant HTN 2 days ago
"Clonidine + Metoprolol is a bad combination. We have discussed this many times." Would appreciate if you can provide some references? -------...
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RE: preoperative hyponatremia 2 days ago
Thank you sir ------------------------------ Ahmed Abdelfattah MD, MBChB, MSc Assistant professor (Internal medicine hospital ALHUSSIEN CAIRO --...
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RE: preoperative hyponatremia 2 days ago
There are numerous studies that have established that even mild hyponatremia is an independent risk factor for morbidity and mortality in many cond...
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RE: preoperative hyponatremia 2 days ago
Dear Dr Keith My. impression is that this association of hyponatremia with post-operative complications is related to the original disease burden...
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RE: preoperative hyponatremia 2 days ago
We identified 32 observational studies comprising 1 301 346 participants. All studies had low risk of bias. When adjusted for covariates, patients ...
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