RE: uremic colitis 17 minutes ago

No telangectasia observed on colonoscopy, biopsy: only mild colitis ------------------------------ Mohamed Elrggal, MD Alexandria Egypt +20 12...

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RE: uremic colitis 27 minutes ago

Biopsy can easily miss angiodysplasia as it is a very focal process. Were any “Telangectasias” described when the colon was visualized by colonosco...

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RE: uremic colitis 35 minutes ago

Uremic colitis is not a endoscopic diagnosis - where as ischemic colitis and angiodysplasia of the GI tract can often be diagnosed by their endosco...

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RE: uremic colitis 38 minutes ago

Actually there is evidence on echo basis for severe Calcific Aortic stenosis, but can't rule out CKD-MBD Colonoscopy revealed inflammation and bi...

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RE: uremic colitis 1 hour ago

Patients with colonic GI bleeding and advanced CKD commonly have angiodysplasia of the colon rather than uremic Also, was there any evidence of Cal...

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RE: uremic colitis 1 hour ago

No, Contrast based imaging are hard to do with this level of GFR? actually, no symptoms of abdominal pain at all, just recurrent GI bleeding Wh...

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RE: uremic colitis 2 hours ago

Uremic any-itis are typically diagnoses of exclusion: pericarditis, pleuritis, peritonitis (ascites), neuritis (neuropathy). Has ischemic colitis b...

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RE: Biopsy in Lupus with low platelets 2 hours ago

Dr. Glassock I respectfully disagree for all the reasons I already mentioned. ------------------------------ Mario Rubin, M.D. Houston TX (713) 252...

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RE: Biopsy in Lupus with low platelets 2 hours ago

I share Dr. Venkat's views on the subject of kidney biopsy in this case. I think the patient can be reasonably well managed by clinically based tr...

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RE: uremic colitis 3 hours ago

What meds is she taking? Is there any imaging study external to the colon, perhaps something that would suggest ischemia? Sometimes I feel that our...

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uremic colitis 3 hours ago

Dear community members,  I have a 65-year-old female with advanced CKD stage 5 non-D on conservative management. Her creatinine is stable on 7.4 ...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 4 hours ago

is comming, new samples delivery tommorow, and i will post it asa. ------------------------------ Sadollah Abedini MD, PhD Vestfold Hospital Trust,...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 4 hours ago

No, he did not reqired oral alkali suppl. ------------------------------ Sadollah Abedini MD, PhD Vestfold Hospital Trust, Toensberg Norway Toensbe...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 4 hours ago

I will post more information and fresh blood, urin samples and data. ------------------------------ Sadollah Abedini MD, PhD Vestfold Hospital Trus...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 4 hours ago

You are right about the facts and information given in this case. I am not able to upolade file at this moment (Java error). Acidosis worsen gradua...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 4 hours ago

@Sadollah Abedini Please recheck the records. If that were to be the case (enteric drainage), I really don't understand ​why your patient required ...

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RE: Biopsy in Lupus with low platelets 4 hours ago

@K.K. Venkat Your position is an interesting one. For the reasons I stated, I strongly believe that a kidney biopsy is a must (unless there are abs...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 4 hours ago

Yes I did. Enteric drainage, surgery description and CT abdomen showes enteric drainage. ------------------------------ Sadollah Abedini MD, PhD Ve...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 4 hours ago

I am sorry for the confusion. Alkalosis in the title was wrong. Problem is acidosis as described in the text. I will post the chimestry and a graph...

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RE: Biopsy in Lupus with low platelets 4 hours ago

In response to Dr. Rubin's comments: In this young female with active urine sediment, SCr of 1.8 mg/dL strongly positive anti-DS antibody and low c...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 4 hours ago

Metablic acidosis started for long time ago and befor prescibing Questran. Acidosis has worsen over time specially last year. But you are right, Qu...

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RE: LCPT in Smoldering Myeloma 5 hours ago

Thank you Dr. Leung. Appreciate your response.  My knowledge was limited to Bortezomib f/b Thalidomide f/b Lenalidomide as a choice of drugs for re...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

This case is 21 years after kidney-pancreas transplantation. NO evidens of fistula. ------------------------------ Sadollah Abedini MD, PhD Vestfol...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

Alkalosis was not corret in the title. As i wrote in the text, the problem is matabolic acidosis and not alkalosis. ------------------------------ ...

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RE: Hemodialysis Patient With COVID -19 5 hours ago

I totally agree with what Dr. Watnick said. Although the CDC recommends at least 10 days after the initial positive test + 72 hours without symptom...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

We have surgery description and abdominal CT examination later which showes enteric drainage from the pancreas graft. First Creon and later Quester...

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RE: anymore IS in this GPA not getting off dialysis since march? 5 hours ago

Pre-treatment ANCA result/titer? Current ANCA result/titer? Current chest x-ray or chest CT findings compared to pre-treatment? CRP trend? --------...

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RE: LCPT in Smoldering Myeloma 5 hours ago

​Not for LCPT.  We published a series looking at the use of bortezomib but did not compare doublet vs triplet therapy.  There are two studies, 1 in...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

I will post new serum and urine electrolytes in few days. Both Creon and Questeran are prescriped due to diarrhea to se if it helps. Acctually the ...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

I believe very strongly in "Fix what you can fix" https://www.nejm.org/doi/full/10.1056/NEJM197404112901519 https://jamanetwork.com/journals/jamape...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

He dose not tolerates sodium bicarbonate at all due to GI side effects. Veverimer is not available in Norway. ------------------------------ Sadoll...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

Samples will be taken tommorow. I will post the resultas asa. ------------------------------ Sadollah Abedini MD, PhD Vestfold Hospital Trust, Toen...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

Please clarify was the patient requiring and tolerating oral alkali until 3 years ago? --------------------------------- [Mark] [Lerman] [MD,FASN,F...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 5 hours ago

The patient dose not tolerate sodium bicarbonate at all. Picture showes relation beetwen eGFR over time with total Co2 in blood before and after Be...

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RE: non-anion gap acidosis 6 hours ago

such a great theme song Laverne and Shirley ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Medical Cente...

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RE: non-anion gap acidosis 6 hours ago

There is an old Yiddish joke that explains the difference between a schlemiel and a schlimazel is that the schlemiel spills the hot soup and the sc...

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RE: What might my patient be taking? 7 hours ago

I did not see the thread when it was first posted.  Is he eating high maize diet which is nixtamalized?  This is a practice to dissolve shell and r...

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RE: LCPT in Smoldering Myeloma 7 hours ago

Thanks for everyone's comments.  I would have two more follow up questions 1) Even though anti-myeloma therapy is primarily decided by Oncologists,...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 7 hours ago

The more I re-read the posts on this case, the clearer the answer to the issue is (which, by the way, it was already addressed). The availability o...

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RE: Biopsy in Lupus with low platelets 8 hours ago

@Richard Glassock As we all know, a properly performed kidney biopsy provides not only diagnostic and therapeutic information but also offers a pro...

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RE: Biopsy in Lupus with low platelets 8 hours ago

Great answer - many thanks . Risks always have to be weighed against how a biopsy will change management. In this case , a biopsy has a low likelih...

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RE: Biopsy in Lupus with low platelets 8 hours ago

the best data i know of shows a stepwise increase in kidney biopsy related complications as platelet count decreases, starting at less than 200:  "...

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RE: anymore IS in this GPA not getting off dialysis since march? 11 hours ago

Yes he is on Bactrim for PJP prophylaxis ------------------------------ Sadeem Ali MD Bridgeport WV (612) 865-9067 ------------------------------

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RE: anymore IS in this GPA not getting off dialysis since march? 11 hours ago

Since the repeated quantiferon tests are indeterminate and there are cavitary lesions in the lung, can you perform a BAL with AFB staining? Is it w...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 18 hours ago

One last issue which comes to mind in regard to metabolic acidosis in this patient is that this patient has been on 5 mg prednisone for a long time...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 18 hours ago

The statement that "If GI loss of bicarb could always be compensated by increased renal acid excretion, we would never see metabolic acidosis in th...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 19 hours ago

Dr. Abedini- Could you post the serum and urinary electrolytes for this case? Thanks.

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 19 hours ago

If GI loss of bicarb could always be compensated by increased renal acid excretion, we would never see metabolic acidosis in this situation, which ...

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RE: Severe metabolic alkalosis in male with Kidney pancreas Tx 20 hours ago

The 2015 article that Dr. Rodby included above is an informative article. 1. A paragraph in that paper says the following :  The exchange resin  or...

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RE: non-anion gap acidosis 20 hours ago

Why does profanity sound better in Yiddish? ------------------------------ John Mellas MD Nephrology and Hypertension Specialists St Louis MO 31453...

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