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 22: Issue 4 (Feb 2024): Pregnancy and Kidney Disease is now available online.
RE: Artifical Intelligence Clinical Applications 1 hour ago
AI has a lot of potential improving CKD care. The applications so far that are more advanced range from prediction models for AKI incidence, CKD pr...
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IgA nephropathy with FSGS and mesangial proliferation also mild diabetic nephropathy - treatment recommendation 2 hours ago
a 27-year-old male with persistent proteinuria, history of diabetes mellitus type 2 since last 5 years with urine protein creatinine ratio 1585 ...
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IV Iron treatment in setting of remote h/o colon cancer 3 hours ago
A 87-year-old female patient with chronic kidney disease- recent creatinine 2.29 and GFR 20%. patient's hemoglobin is 7.6, percentage iron satur...
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An excellent CME and MOC free of cost, to fulfill educational requirement of DEA for providers like me who do not prescribe controlled substances in routine ! 3 hours ago
https://secureknowledgeplus.nejm.org/user/profile ------------------------------ Sadeem Ali MD Bridgeport WV (612) 865-9067 ---------------------...
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RE: Artifical Intelligence Clinical Applications 6 hours ago
Chat-Gpt 4o is good as one can help in finding the literature and also it helps in various topics you can write on which study was not done, like v...
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RE: Artifical Intelligence Clinical Applications 8 hours ago
The best of the AI search engines, far better than Google and it gives references, is Perplexity. You can ask it diff dx of split basement membrane...
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RE: hyperaldosteronism without symptoms 8 hours ago
I am curious as to whether the total colectomy may have played a causative role in increasing the serum aldosterone level. I could not find a study...
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A regular hemodialysis in an ESRD patient with a serum HCO3- of 7 meq/l after missing dialysis for 2 weeks? 9 hours ago
Dear Colleagues, We are all very familiar with the pathogenesis of disequilibrium syndrome in ESRD patients and how to avoid it (a short hemodial...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 9 hours ago
Addendum. I just " re-reviewed" her workup to date. Do NOT find where temp art bx ever done. Only esr of 46. Main area of evaluation was with her p...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 9 hours ago
Bx done 10/22. Esr then only 46 and has never been over 60. Crp apparently not done then. No record of Ana or ANCA then either. I believe my labs w...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 10 hours ago
Was the temporal artery biopsy done? Or Doppler ultrasound of the temporal artery? Was the ESR very high? ------------------------------ Satish B...
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RE: hyperaldosteronism without symptoms 10 hours ago
Understood, but this patient is described as clinically euvolemic with a tendency to elevated BP prompting the aldosterone level order. If this i...
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RE: Membranous Nephropathy With Fouriner Gangrene 10 hours ago
Scrotal infection can spread very rapidly and impending Fournier gangrene is a severe infection. This is not a situation that needs immediate immun...
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RE: hyperaldosteronism without symptoms 12 hours ago
That is really interesting. Agree it would be good to know what aldo and PRA are, but it should be noted that the urine volume is rather high at 3....
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RE: Membranous Nephropathy With Fouriner Gangrene 13 hours ago
If this is really Fouriers gangrene a treatment dilemma is present and I would not be comfortable with starting IS drugs until the infection is wel...
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RE: Membranous Nephropathy With Fouriner Gangrene 15 hours ago
This impending Fournier gangrene was impression of urologist I donot know what he mean He kept him on dalacine 600 mg tds His response to Lasix is ...
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RE: Membranous Nephropathy With Fouriner Gangrene 16 hours ago
I am a little unclear what you mean by "impending Fourniers gangrene". Is fever present? Is a painful, necrotizing fasciitis present? What kind of ...
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RE: hyperaldosteronism without symptoms 18 hours ago
Dr. Mellas, the high urine volume is very unusual as the patient is volume depleted but I guess this can happen if the patient is in a catabolic st...
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Membranous Nephropathy With Fouriner Gangrene 18 hours ago
Hi all I need you opinion In 56 male HTN 2 year not Diabetic presented by generalized anasarca and scrotal odema impending fouriner gangrene Cr 1...
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RE: Artifical Intelligence Clinical Applications 1 day ago
There are multiple models of AI application through embedding of algorthims in EMR. So far the results are variable and dependent on the characteri...
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RE: Lupus podocytopathy 1 day ago
Dr. Mohammed - with all due respects to your opinion concern a T-cell mediated process as the pathogenesis of "LupusPodocytopathy" the evidence sup...
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Artifical Intelligence Clinical Applications 1 day ago
I've searched for use of AI in Nephrology and have found plenty of research on it's utility, such as being able to predict AKI before lab. ABN and ...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 1 day ago
I find the local rheumatologists to be very conservative i.e. rarely consult nephrology for lupus pts; or don't get anti-gbm titers on pts with sig...
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RE: Lupus podocytopathy 1 day ago
This is very informative, thanks a lot. ------------------------------ Amaar Bakhit, MD Consultant Nephrologist King Saud University Medical City...
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RE: Lupus podocytopathy 1 day ago
Several cases of lupus podocytopathy have been associated with nonsteroidal anti-inflammatory drug use in patients with SLE however, the pathogen...
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RE: Lupus podocytopathy 1 day ago
Thank you very much for your response and valuable opinion. ------------------------------ A. Bakhit, MD Consultant Nephrologist KSUMC Ri...
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RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 1 day ago
Dr. Qualheim. I a sorry but I do not feel that I have sufficientvp expertise and experience to qualify as an opinion -maker in this complex, non-ne...
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RE: Lupus podocytopathy 1 day ago
The findings in this case certainly warrant the "diagnosis " of lupus podocytopathy (or minimal change lesion (MCL) in a patient withSLE) . The ass...
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Lupus podocytopathy 1 day ago
Hi there, I would appreciate the valuable opinion of the experts. 31 yrs old F, known SLE for 10 yrs(MSK Sx and serology) being managed with HQ a...
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RE: hyperaldosteronism without symptoms 2 days ago
Very interesting So the 24 hour sodium was undetectable?...just making sure I read the results properly ... And it all started from extremel...
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refractory temporal arteritis ( GCA) vs steroid myopathy vs. 2 days ago
66 yo mod obese WF, first seen by me 1/4/24 for minimally elevated serum creat. over the past year ( max level 1.4 mg in feb of 2022; prior to star...
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RE: hyperaldosteronism without symptoms 2 days ago
I will implicate Occam and assume this is secondary hyperaldo due to hypovolemia from the colon issues. Interesting that the BP is normal reflectin...
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RE: hyperaldosteronism without symptoms 2 days ago
Hi natera report came back positive for carrier state for NPHS2 and MEFV ------------------------------ Nasimeh Yazdani MD Seaside Medical Practi...
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RE: Dialysis in delayed presentation of EG ingestion 2 days ago
Thank you everyone. I really appreciate the inputs. And i echo some of the insights - "expected AG to be higher!" yup. me too. I do not have an...
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RE: hyperaldosteronism without symptoms 2 days ago
Very curious results of 24 hour urine sodium; see below. Seems to resemble your case Dr. Leiba. SODIUM TIMED URINE Specimen Information: Cl...
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RE: PSGN in cirrhosis 2 days ago
Chronic liver disease is a confounding factor here. If C3 improves but doesn't reach normal levels, it could reflect decreased production by the li...
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RE: IgA Nephritis and pneumonia, underlying CKD with co morbidities 2 days ago
Good question. I do not think that hard data (RCT) is available that supports a concept that CYC is preferred over RTX in patients with ANCA Vascul...
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RE: IgA Nephritis and pneumonia, underlying CKD with co morbidities 2 days ago
Dear Dr. Glassock @Richard Glassock, you mentioned the severity of crescents while talking about choosing CYC over Rituximab, would you apply the s...
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RE: Duration of immunosuppression in PR3 ANCA vasculitis 2 days ago
Thanks Dr Glassock CRP ESR WBC normal Did not check IgG and CD19 Will do 5 years and then will stop and monitor She already been on it for 4 year...
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RE: Duration of immunosuppression in PR3 ANCA vasculitis 2 days ago
Don't be surprised if you receive a variety of opinion concerning your question. This is one (of many) evidence free zones in the topic of manageme...
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RE: PSGN in cirrhosis 2 days ago
If the C3 level does not return to normal by 8 weeks, I think that genetic studies for C-regulation mutations, a C3NEF assay , an anti-Factor B and...
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RE: PSGN in cirrhosis 3 days ago
C3 may take 6 to 8 weeks before it becomes normal --------------------------------- Shahzad Safdar MD MD Mt. Auburn Nephrology, Inc. Cincinnat...
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RE: Guidance about further dosing recurrent PR3 ANCA vasculitis And Risk Of Infection 3 days ago
Thanks Dr Venkat This is very helpful No Cd19 was not checked in 2019 --------------------------------- Shahzad Safdar MD MD Mt. Auburn Nephrol...
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RE: Guidance about further dosing recurrent PR3 ANCA vasculitis And Risk Of Infection 3 days ago
Was CD19/20 checked during episode of iritis in 2019? If it was elevated then, one can conclude that CD19/20 reappearance correlates with disease a...
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RE: PSGN in cirrhosis 3 days ago
"IF results showed IgA (4+), IgG (3+), IgM (trace), kappa and lambda light chains (3+) and C3 (3+) while C1q and albumin are negative." If IgA wa...
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RE: PSGN in cirrhosis 3 days ago
IF results showed IgA (4+), IgG (3+), IgM (trace), kappa and lambda light chains (3+) and C3 (3+) while C1q and albumin are negative. Dr. Rodby,...
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Guidance about further dosing recurrent PR3 ANCA vasculitis And Risk Of Infection 3 days ago
79-year-old caucasian female diagnosed with PR3 ANCA vasculitis in 3/2015 main symptoms were double vision due to 6 th nerve palsy some ear problem...
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Duration of immunosuppression in PR3 ANCA vasculitis 3 days ago
I would appreciate experts help in this patient I have 57-year-old Caucasian female diagnosed with PR3 ANCA vasculitis on kidney biopsy in 12/2019...
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RE: Measuring individual kidney creatinine clearance 3 days ago
After PERC post obstructive drainage have you reached steady state level and collection has to be perfectly carried out by staff which is crucial ...
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RE: Measuring individual kidney creatinine clearance 3 days ago
Very true. If the R kidney were removed (by accident of course, not intentionally) the serum creatinine AND UV creatinine (from the remaining L kid...
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