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 3 (Aug 2024): Acute Kidney Injury and Critical Care Nephrology is now available online.
RE: SIADH in a patient with SAH 3 hours ago
Thanks for the explanation on idiogenic osmoles, Dr. Tijani. It would be interesting to see if they increase with exogenous amino acid infusion. ...
View Discussion
RE: Persistent Hyperkalemia 4 hours ago
Just trying to propose another idea. There is a pediatric entity I have thinked of. Could that be possibly transient PHA (pseudohypoaldosteronism) ...
View Discussion
RE: Persistent Hyperkalemia 4 hours ago
More questions than answers. Even if you had a Ucreat, what would a high UK/Ucreat ratio checked after diuresing with bicarb/lasix mean about hype...
View Discussion
RE: Apply today!! Travel Support Scholarship for Nephrology Fellows to attend Annual Dialysis Conference, Las Vegas 2025. 6 hours ago
Please see details about fellows' application for ADC sponsorship below: Nephrology Fellows (non-pediatric) Nephrology fellows are invited to sub...
View Discussion
RE: chronic Hyponatremia, now hypo osmolar , euvolemic , asymptomatic, and undetsctable urine Na 6 hours ago
Hyponatremia is due in part to hyperglycemia. Probably on a very low Na intake. His poly pharmacy needs to be addressed. There may be component of ...
View Discussion
RE: Renal thrombotic microangiopathy 7 hours ago
Abdominal pain is also a very common presenting feature of TAFRO- i am still inclined to consider this case as "atypical " TAFRO syndrome. Can you ...
View Discussion
chronic Hyponatremia, now hypo osmolar , euvolemic , asymptomatic, and undetsctable urine Na 7 hours ago
White gentleman age 56, with history of schizoaffective disorder and bipolar transferred to our mental health unit with suicidal ideation. Lacks ca...
View Discussion
RE: Persistent Hyperkalemia 7 hours ago
"Usually she comes in with fatigue" Did she have significant muscle weakness and hypoteflexia? If yes, this would argue against pseudo-hyperkalem...
View Discussion
RE: Renal thrombotic microangiopathy 7 hours ago
The initially normal serum albumin with "anasarca" continues to trouble me, in so far as a primary diffuse podocytopathy. LM findings are also at v...
View Discussion
RE: Persistent Hyperkalemia 7 hours ago
Excess oral K intake is a very rare cause of hyprkalemia when GFR is normal except when drugs or other compounds interfere with tubular K secretion...
View Discussion
RE: Persistent Hyperkalemia 9 hours ago
"Isn't it essentially impossible to become significantly hyperkalemic with normal kidney function based on K ingestion alone?" agree with the ...
View Discussion
RE: Renal thrombotic microangiopathy 10 hours ago
Although SAlb remains unchanged, some improvement in SCr and proteinuria has occurred. Current prednisone dose? How long has been on prednisone?Adu...
View Discussion
RE: Persistent Hyperkalemia 11 hours ago
Isn't it essentially impossible to become significantly hyperkalemic with normal kidney function based on K ingestion alone? Various populations ...
View Discussion
RE: Persistent Hyperkalemia 11 hours ago
There have been some anecdotal cases of hyperkalemia induced by Tirzepatide. i would advise exploring this possibility. -----------------------...
View Discussion
RE: Persistent Hyperkalemia 12 hours ago
I agree that is quite unusual to see no EKG changes in somebody with normal renal function with the potassium of we used to be taught of mechanism ...
View Discussion
RE: Persistent Hyperkalemia 12 hours ago
Will check . The time we checked it was the same as serum. And, there was no definite cause for a pseudohyperkalemia - will surely check again. Tha...
View Discussion
RE: Apply today!! Travel Support Scholarship for Nephrology Fellows to attend Annual Dialysis Conference, Las Vegas 2025. 13 hours ago
Hi, How can we apply for travel support to attend ADC, Las Vegas 2025? ------------------------------ Sherzod Abdullaev MD Head of departmen...
View Discussion
RE: Renal thrombotic microangiopathy 13 hours ago
At this point, i would favor a podocytopathy. If already on steroids for >8 weeks without some response, would add plasma exchange and rituximab ...
View Discussion
RE: Kidney Transplantation immunity 13 hours ago
@Riyadh Alsaegh, do you have new information about your patient?. Thank you. ------------------------------ [Benjamin] [Gomez] [] [JProfessor of...
View Discussion
RE: Persistent Hyperkalemia 13 hours ago
24 hour colletions or potassium and creatinine X 3 sets to ind out urine K excretion this should inform about how much postassium she is taking. ...
View Discussion
RE: Renal thrombotic microangiopathy 14 hours ago
He's hospitalized again due to recurrence of edema and abdominal pain (bowel edema?). Bone marrow: small population with monoallelic clonality of...
View Discussion
RE: Persistent Hyperkalemia 14 hours ago
I am struck by the relatively normal ECG with K levels of 9. Would rule of pseudohyperkalemia a little more thoroughly: 1. Either separate the ...
View Discussion
RE: Apply today!! Travel Support Scholarship for Nephrology Fellows to attend Annual Dialysis Conference, Las Vegas 2025. 14 hours ago
Good morning, after some inquiries, I have attached more details about fellows' application for ADC sponsorship for next year's meeting (availab...
View Discussion
RE: interesting case 15 hours ago
Sir we don't have the facility of EM . and his biopsies were run outside so we don't have blocks. But sure I can send you the written report tomorr...
View Discussion
RE: SIADH in a patient with SAH 15 hours ago
To be sure, idiogenic osmoles are defined as organic molecules that are produced by cells to regulate their volume and composition.. -An osmole is...
View Discussion
RE: interesting case 16 hours ago
Do you have EM on the first transplant kidney biopsy? If not, can you have the paraffin block processed for EM? Can you post the LM and IF report f...
View Discussion
RE: Liver Tx Alone In CKD patients 16 hours ago
In CKD, GFR > 30 mL/min/1.73 m2 for deceased donor liver transplant-alone and [More]
View Discussion
RE: interesting case 16 hours ago
Thankyou all for your valuable comments.Can anyone please send me the reference articles/case series/case reports of 1. Missed membranous on LM and...
View Discussion
RE: Liver Tx Alone In CKD patients 20 hours ago
So we can conclude that in living donor programs, decision of combined liver and kidney transplant may be based on GFR measurements of the recipien...
View Discussion
RE: Persistent Hyperkalemia 1 day ago
here are the articles: Did not include dig or Foxglove... ------------------------------ Roger Rodby MD, FASN Professor of Medic...
View Discussion
RE: SIADH in a patient with SAH 1 day ago
Appreciate thoughts from Dr. Tijani, Dr. Glassock and Dr. Mario. This patient likely had severe intracellular potassium, Phosphate, Magnesium and...
View Discussion
RE: Persistent Hyperkalemia 1 day ago
I love it. Sounds like a script from Dr. House. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949) 388-8885 ---------...
View Discussion
RE: SIADH in a patient with SAH 1 day ago
The phenomenon of redistribution of water into the ECF and Na into the ICF (causing hyponatremia ) due to severe total body K deficits is well desc...
View Discussion
RE: SIADH in a patient with SAH 1 day ago
Thanks! Sent from my iPhone
View Discussion
RE: SIADH in a patient with SAH 1 day ago
As you may recall the idea of "idiogenic osmoles" was generated from experiments in rabbits to account for the intra-cerebral changes which are ass...
View Discussion
RE: IgA Nephropathy 1 day ago
"My question is: Why did the three studies exclude these patients?" this is the problem with so many past IgAN studies, you can't prove slowing p...
View Discussion
RE: Persistent Hyperkalemia 1 day ago
Some fun ideas: any possibility of Digoxin ingestion? Foxglove? Chan Su, a traditional Chinese medicine (dig effects) toad venom (di...
View Discussion
RE: SIADH in a patient with SAH 1 day ago
you can always go back and edit your posts: ------------------------------ Roger Rodby MD, FASN Professor of Medicine Rush University Medica...
View Discussion
RE: SIADH in a patient with SAH 1 day ago
The idea is borrowed from what is generally accepted as the pathogenesis of ODS in the acute/subacute setting, when managing Hyponatremia. There, t...
View Discussion
RE: SIADH in a patient with SAH 1 day ago
@Tunde Tijani Interesting hypothesis! Is there published data to back it up? If so, please provide the references. Thank you ------------------...
View Discussion
RE: SIADH in a patient with SAH 1 day ago
Typo: please substitute ‘intracellular’ for intercellular. Sent from my iPhone > On Sep 18, 2024, at 4:31 PM, Tunde Tijani wrote: > > “.. is ...
View Discussion
RE: SIADH in a patient with SAH 1 day ago
“.. is it possible for intracellular osmolality to drop due to lack of solute? ..” Plausibly, if in the context of marked malnutrition/inanition, ...
View Discussion
RE: Persistent Hyperkalemia 1 day ago
First presentation with high K - (not sure if you were looking for a specific chemistry) - Thanks Na 137, K 9.3, Cl 110, HCO3 22, BUN 8, creat 0...
View Discussion
RE: IgA Nephropathy 1 day ago
As always great questions Dr. Hirsch. Thanks. Unfortunately, the answers are speculative and not evidence based. Recent data (e.g. RADAR from UK) s...
View Discussion
RE: Persistent Hyperkalemia 1 day ago
Thank you. Any reason to suspect fluoride intoxication or trans-cellular K+ redistribution? Can you plz track down the very fist chem-10 panel for ...
View Discussion
RE: Persistent Hyperkalemia 1 day ago
Thanks-normocytic normochrimic anemia. Unexplained. Any splenomegaly.? Peripheral blood smear will be very helpful for RBC morphology . ---------...
View Discussion
RE: Renal Cystic Kidney Disease 1 day ago
Do you have a birth weight on this patient? Adaptive hyperfiltration injury seems to be a likely explanation for the proteinuria. ---------------...
View Discussion
RE: Renal Cystic Kidney Disease 1 day ago
Thank you @Fouad Chebib Patient has proteinuria since age of 16 years, almost 30 years. His albumin is normal and has no oedema, does have mild H...
View Discussion
RE: Persistent Hyperkalemia 1 day ago
Calcium 7.8 to 9.2 (bicarb and diuretics for treatment may have caused some fluctuation) - but not high. ------------------------------ Dilip Un...
View Discussion
RE: Persistent Hyperkalemia 1 day ago
Was your patient ever hypercalcemic?... ------------------------------ Prem Chandran MD Adj Clinical Professor, Univ of Iowa Associates In Kidney...
View Discussion