RE: Vitamin K2 In Calciphylaxis 5 hours 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 5 hours 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 5 hours ago

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

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RE: Increased Weight And Ckd 6 hours 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 6 hours 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 6 hours 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 6 hours 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 6 hours 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 6 hours 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 7 hours ago

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

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CALL FOR DIALYSIS CASES! 8 hours 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 8 hours 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 10 hours 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 10 hours 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 11 hours 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 11 hours 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 11 hours 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 12 hours 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 12 hours 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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RE: IgA And SLE 13 hours ago

I meant She has been on Hydroxychloroquine --------------------------------- Ashraf Mohammed MD, MBBS Las Vegas NV (702) 468-3429 ------------...

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RE: IgA And SLE 13 hours ago

Yes…. She has been on it already by her Rheumatologist --------------------------------- Ashraf Mohammed MD, MBBS Las Vegas NV (702) 468-3429 -...

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RE: Renal denervation 14 hours ago

Recommending RSD for all patients with resistant hypertension is not supported by the available evidence. 1. Resistant hypertension can be due to m...

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Recurrent UTI 21 hours ago

A 33‑year‑old female presented with history of persistent lower abdominal pain and dysuria since June 2023.The pain localizes predominantly to the ...

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RE: IgA Nephropathy 1 day ago

Apologies Dr. Venkat. Typo error. C4 was low at 8.27. Not on hydralazine or allopurinol. ------------------------------ Amjad Mehboob,MD Al...

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RE: IgA Nephropathy 1 day ago

"Complement levels were low. C3: 53, C4: 49" So, C3 is low, C4 is at upper limit normal. This pattern favors IRGN. Also, ANA, anti-DS DNAab and A...

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RE: IgA Nephropathy 1 day ago

Very valid concerns and thank you for input.Repeat blood Cx were negative last admission. TTE was neg for any vegetations. TEE was not done because...

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RE: IgA Nephropathy 1 day ago

Dr. Mehboob. This is my personal opinion I am more worried that this patient might have ongoing infection (perhaps persistent MSSA bacteremia) with...

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RE: Hyponatremia Dilemma 1 day ago

Allow the reader to decide. Kidney360 4(4):p e445-e447, April 2023. | DOI: 10.34067/KID.0001452022 Kidney360 4(4):p e437-e440, April 2023. | DO...

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RE: Hyponatremia Dilemma 1 day ago

Dear Dr Mellas, a net negative solute balance can be achieved without the need for tubular secretion by repeated filtration and then reabsorbing wa...

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RE: Hyponatremia Dilemma 1 day ago

CNS injury background favors CSW But hypovolemia is associated with CSW and not euvolemia as stated in the case Treatment is different between S...

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IgA Nephropathy 1 day ago

Hi Colleagues, I am looking for guidance/ opinion regarding a case. 56 years old Caucasian gentleman with history of alcoholic cirrhosis with pr...

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RE: Hyponatremia Dilemma 1 day ago

Dr. Nauman thanks I believe this is what happens in acute hyponatremia where the weight gain is proportional to the net free water gain when there ...

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RE: DKA in post transplants 1 day ago

Hi Daniel, I agree that with Hb of 4, transfusion is warranted but it's 7 with Iron deficiency might try with Iron first . My concern is about sens...

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RE: Hyponatremia Dilemma 1 day ago

BNP or NT-proBNP level has been suggested as a useful test to distinguish SIADH and CSW. It has been reported that in SIADH (ceuvolemic or minimall...

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RE: DKA in post transplants 1 day ago

Type of blood product transfused is relevant. Regular packed RBCs vs leukoreduced/ irradiated RBCs. Latter may reduce risk of A sensitization. --...

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RE: DKA in post transplants 1 day ago

Hello Awais . Thank you for sharing the article. This is still a topic of controversy. As far as I know there are few publications of DnDSA followi...

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RE: DKA in post transplants 1 day ago

Dear Dr Yasir I think giving Iron shouldn't be much of a problem. Cause of Hemolysis needs to be sorted out, Is it Autoimmune? TMA?Hypersplenism?...

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RE: Hyponatremia Dilemma 1 day ago

Forgive me for quibbling, but this is a forum where we strive to get every detail right (and please quibble if I don't have this exactly right): ...

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RE: Hyponatremia Dilemma 1 day ago

Dear Dr Venturelli if in a patient with SIADH the total body Na content is unchanged, and assuming Edelmans equation of (Na= 1.1*(NaE + KE/TBW)-25....

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RE: DKA in post transplants 1 day ago

Are you on the wrong thread or on a totally wrong site? ------------------------------ Anatole Besarab MD ABesarab Consulting Scottsdale AZ (734)...

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RE: DKA in post transplants 1 day ago

I am not an artist. Ok? So dont show drama to me. Send my certificate as soon as possible On Sun, Dec 7, 2025, 6:42 PM Sandip Das wrote: Hello ...

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Post transplantation DKA 1 day ago

Thanks a lot for all information I get it I will shift the patient to cyclosporine and manage the anemia accordingly and fellow up the patient resu...

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RE: Hyponatremia Dilemma 1 day ago

Dr. Neumann for your second question. Volemia is defined by the balance of sodium, not body water. patient with hyponatremia due to SIADH are eu...

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RE: DKA in post transplants 1 day ago

Also now liver and renal function test better but still anemia also send by attachment file could I give other pint of blood thank...

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RE: Hyponatremia Dilemma 1 day ago

Honestly I do not see why there is a confusion in the diagnosis of CSW vs SIADH In CSW , patients lose a lot of salt in the urine and are usually p...

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RE: Hyponatremia Dilemma 2 days ago

So no real dilemma exists in diagnosis or therapy of this patient, other than the impediments imposed by the health care system ----------------...

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RE: ig a v vs anca vs ctd 2 days ago

Thanks prof rodby , prof glassock and dr emilio I this debate of plex should be done in kind loving way . Unity in diversity in my humble opinion...

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RE: ig a v vs anca vs ctd 2 days ago

Update got virology back after speaking to virologist ( hepatitis /hiv hep b / hep c all negative ) Patient will have one cyclo infusion tomorrow...

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RE: ig a v vs anca vs ctd 2 days ago

Thanks dr emilio I mean If someone has ongoing infection and bad vasculitis would plex be used till infection clear ( I thought plex was safe in ...

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RE: Hyponatremia Dilemma 2 days ago

I would argue no. In kidney epithelial transport I know of no nephron segment that secretes Na. In true CSW, to develop hyponatremia the [Na] exc...

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