RE: macroscopic haematuria in young patient 38 minutes ago

Did this patient have trauma of the lower abdomen? I remember a patient with a fall when beeing drunk, standing up in the night for voiding his b...

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RE: Recurrent UTI 1 hour ago

Thanks Dr. Crivelli ------------------------------ Jaison George MD, MBBS Kollam, India ------------------------------

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RE: IgA Nephropathy 3 hours ago

Poly antibodies response interesting including and especially lupus serology besides the others needs explanation since cannot be ignored from ther...

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RE: macroscopic haematuria in young patient 4 hours ago

From clinical description Alport syndrome stands out with hearing impairment in a young male Hence top priority is Genetic studies Ophthalmologic...

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RE: macroscopic haematuria in young patient 5 hours ago

Urine acr/pcr done simultaneously we dont spin urine so cant answer if dysmorphic Is the hearing loss conductive or neural?- Patient has had a ...

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RE: glycosuria in young patient 5 hours ago

glucose 4.2mmol/l hb1ac 38 mmol/mol thanks prof ------------------------------ Muhammad Soobadar MBChB UK ------------------------------

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RE: glycosuria in young patient 5 hours ago

Do you know what the blood glucose levels we're at the time of Gkycisurua . What is the Hemiglobiobin A1c. ------------------------------ Richard...

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RE: macroscopic haematuria in young patient 5 hours ago

Blood clots in urine are very, very uncommon in glomerular Dusease. Are your sure of thus sign? You need to do a UACR and aUPCR simultaneously. Are...

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RE: ig a v vs anca vs ctd 5 hours ago

This is PR3 positive ANCA assicured Vasculitis. I think you can ignore the weak IgA deposition. It is likely just an incidental finding. Does the b...

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RE: ig a v vs anca vs ctd 5 hours ago

And can someone explain how they knew it was anca and not ig a based on history and clinical signs? and not Ig A vasculitis or CTD with renal in...

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macroscopic haematuria in young patient 6 hours ago

21 year old macroscopic haematuria which started in June 2025. He does not recall any possible initiating event. He reports haaematuria happening...

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RE: ig a v vs anca vs ctd 6 hours ago

@ prog glassock you made a point at conference last Sunday that 10% of biopsy has Ig a and mean nothing however in this case it has c3 and iga do...

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glycosuria in young patient 6 hours ago

20 year old glycosuria in the context of a viral illness in September where he tested five samples of urine over two weeks which were positive for ...

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RE: ig a v vs anca vs ctd 6 hours ago

Thanks everyone patient pr3 positive back 2 days ago postive ana negative, myeloma negative complement normal 2 Post cyclophosphamide 1.2 g i...

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RE: IgA Nephropathy 12 hours ago

Dr.Kesavan. Yup, I got those attachments. Very helpful. Thank you! ------------------------------ Amjad Mehboob,MD Allina Health Nephrology Minne...

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RE: IgA Nephropathy 17 hours ago

Dr Mehboob I attached screenshots. Were you able to read them. Two replies from me with attachments. Dr Kesavan --------------------------------...

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RE: Recurrent UTI 17 hours ago

The cystoscopy video appears mostly unremarkable, though the visibility is suboptimal and the urine looks a little cloudy. The cloudiness raises co...

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RE: IgA Nephropathy 20 hours ago

Agree. I am inclined to taper down steroids. Will repeat serologies, complement levels and blood cultures Thank you for the valuable input. ...

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RE: IgA Nephropathy 20 hours ago

Absolutely right. I am currently seeing another patient with positive cryo with skin rash, AKI with proteinuria and hematuria requiring RRT in the ...

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RE: IgA Nephropathy 23 hours ago

Okay Thanks I am still worried about staphylococcus associated GN. Of course lupus nephritis would be a possibility, given the positive serolog...

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RE: IgA Nephropathy 23 hours ago

Cryoglobulinemia has been reported in shunt nephritis staphylococcus infection and endocarditis associated glomerulonephritis -----------------...

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RE: IgA Nephropathy 1 day ago

I recently reviewed NEPHSAP VOLUME 24 NUMBER ONE, MARCH 25 ON PRIMARY AND SECONDARY GLOMERULAR DISEASES Your case perfectly fits into IGA dominant...

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RE: Recurrent UTI 1 day ago

Dr George : She is a complicated case for sure. You may want a Pain specialist to see her. If pain did not change after therapy for UTI ( I will as...

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RE: Renal denervation 1 day ago

The burden now falls on the referring physicians to assure that RDN is necessary for their patient. ------------------------------ Ashraf El-Mean...

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Sparsentan and foot pain 1 day ago

I look after a 35 year old man with IgA nephropathy. He received a compassionate supply of sparsentan, and shortly after he developed cramping foot...

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RE: Renal denervation 1 day ago

Excellent points. It points out some weaknesses of the FDA requirements for registering and approving new devices. Comparator trials are not requir...

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RE: Renal denervation 1 day ago

Dear Dr. Glassock. i am well aware of the decision of the FDA. I disagree with this decision (just a personal opinion) exactly for the reasons yo...

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RE: Recurrent UTI 1 day ago

Thanks Dr.Glassock. Her pain was never better despite the use of culture sensitive oral antibiotics. Since she was never febrile, and hence IV th...

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RE: Recurrent UTI 1 day ago

Thanks Dr. Roman. The gynecologist denies adenomyosis to be the cause for her pain. Pyuria has been to the tune of 5-7 cells at most/hpf. She did...

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RE: Recurrent UTI 1 day ago

Thank you Dr. Glassock. The gynecologist has ruled out gynecological causes for the pain despite the patient having a hjistory of adenomyosis ...

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RE: Vitamin K2 In Calciphylaxis 1 day ago

Vitamin k1 does not have same effect on vascular calcification due to LDL transporting majority of extra hepatic vitamin k menaquinone Can someon...

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RE: Vitamin K2 In Calciphylaxis 1 day ago

Thanks When to stop vitamin k2 if no response ( 3 month or 6) it’s asking me in the form I am filling --------------------------------- Muhammad...

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RE: Vitamin K2 In Calciphylaxis 1 day ago

Vitamin K2 is preferred to Vitamin K1. The benefits of Vitamin K for therapy of Calciphylaxis remains to be fully understood, but the risks of harm...

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RE: Increased Weight And Ckd 1 day ago

Thanks prof glassock you are amazing --------------------------------- Muhammad Soobadar MBChB UK ---------------------------------

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RE: Increased Weight And Ckd 1 day ago

The Dubois equation is the standard one used for this calculation. ------------------------------ Richard Glassock MD, FASN Laguna Woods CA (949)...

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RE: Renal denervation 1 day ago

Thanks Dr. Campese for your excellent and useful comments. In the USA the FDA has clearly and unequivocally stated that RDN (by rf or us) is not lo...

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RE: Increased Weight And Ckd 1 day ago

That’s really helpful prof glassock . Is there any favoured Equation you use to calculate BSA? Kind regards --------------------------------- Muh...

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Vitamin K2 In Calciphylaxis 1 day ago

Dear colleagues , I have dialysis patient with calciphylaxis a horrible abdominal wound that spreading . She knows an about her health and does n...

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RE: Increased Weight And Ckd 1 day ago

In underweight (BMI < 22 Kg/M2) patient the eGFR indexed for BSA significantly over-estimates GFR. The effects of underweight and overweight on BSA...

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RE: Recurrent UTI 1 day ago

Based on the information you have supplied , I have some degree of skepticism that the persistent lower abdominal (non-colicky) pain is directly re...

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CALLING FOR DIALYSIS CASES, ANNUAL DIALYSIS CONFERENCE 2026 1 day ago

------------------------------ [Maria Camila] [Bermudez] [Associate Program Director] [Job Title] [Geisinger Medical Center] [Danville] [PA] [570-2...

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CALL FOR DIALYSIS CASES! 1 day ago

Dear Fellows, 🚨 CALL FOR CASES! 🚨 Have a notable dialysis case? 🤔 The American Dialysis Conference (ADC) is THE place to share it! 📢 ADC is ...

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RE: Recurrent UTI 1 day ago

Dr George : This is certainly a difficult case; longstanding pain + UTI's. Pardon my ignorance of GYN; is Adenomyosis same as endometriosis? Or Ute...

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RE: Increased Weight And Ckd 2 days ago

Thanks so much what about underweight ? BSA lower than 1.73 m2 Therefore overestimating kidney function Is cystatin linked to BSA? Regards --...

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RE: Recurrent UTI 2 days ago

Dear Dr 24 hr urine for Calcium,oxalate, PO4 And Cystine was so important that crystalurea as a cause was possible and in each GUE does there's h...

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RE: Recurrent UTI 2 days ago

It is of great interest that 20% of patients with Interstitial cystitis also have migraine . The exact nature if this connection is not understood,...

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RE: Recurrent UTI 2 days ago

This is Re-infection not relapsing , recurrent UTI so personal hygiene may be implicated. I would repeat the Cystoscopy , perhaps under light anest...

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RE: Increased Weight And Ckd 2 days ago

It is the effect of BMI on BSA , calculated by the DuBois formula. If the BMI is above 30kg/m2 and the the BSA will be substantially increased . I ...

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RE: Increased Weight And Ckd 2 days ago

And at what BMI / weight cut off does it become clinically significant Many thanks --------------------------------- Muhammad Soobadar MBChB UK ...

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Increased Weight And Ckd 2 days ago

Prof glassock I Hope you are well. I was listening online conference yesterday You made a point that overweight patient we underestimate kidney fu...

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