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.
Research Idea for Nephrology Fellow ( Limited Fund ) and can be applied in limited health facilities 46 minutes ago
Hello folks I'm Darryl a nephrology fellow from Indonesia. Currently I will make my final thesis and looking for some idea for the research. C...
View Discussion
RE: IgA nephropathy with FSGS and mesangial proliferation also mild diabetic nephropathy - treatment recommendation 1 hour ago
What is rambles 3 mg? Also something happened to the biopsy report when it was pasted here as some of it is incomprehensible. I don't understand wh...
View Discussion
RE: Membranous Nephropathy With Fouriner Gangrene 1 hour ago
I assume not on sglt2 inhibitor? Diursese aggressively I believe edema is a risk factor for infection. Use loop thiazide and MRA if needed. ----...
View Discussion
RE: Membranous Nephropathy With Fouriner Gangrene 8 hours ago
Fourniers gangrene is a Urosurgical Emergency. If he has not been taken for debridement and crp is 2, it's probably not Fournier. Resolution of oed...
View Discussion
RE: Membranous Nephropathy With Fouriner Gangrene 8 hours ago
syphilis Serollogy negative Anti PL2 send Secondary work up going --------------------------------- Mohamed Mahmoud MBBS NEPHROLOGIST MOH Egyp...
View Discussion
RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 12 hours ago
Creat 1.2 now UPCR and UACR , routine UA all wnl. Agree , not " nephrology per se, but less than adequate local rheum help (and find the two locall...
View Discussion
RE: Membranous Nephropathy With Fouriner Gangrene 12 hours ago
Suspected. Fournier ulcer on back ground of recently diagnosed membranous with low albumin this is the trigger for the infection and also. May be r...
View Discussion
RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 13 hours ago
nl BP Creat max 1.4 (what is it now)? Normal urinalysis I think this is a rheum case not a nephrology case. I do admire your interest and p...
View Discussion
RE: A regular hemodialysis in an ESRD patient with a serum HCO3- of 7 meq/l after missing dialysis for 2 weeks? 14 hours ago
This reminds me of one of the arguments against giving bicarb for metabolic acidosis, Bicarb crosses the blood brain barrier slowly, but as you ...
View Discussion
RE: Artifical Intelligence Clinical Applications 16 hours 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...
View Discussion
IgA nephropathy with FSGS and mesangial proliferation also mild diabetic nephropathy - treatment recommendation 17 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 ...
View Discussion
IV Iron treatment in setting of remote h/o colon cancer 17 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...
View Discussion
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 ! 18 hours ago
https://secureknowledgeplus.nejm.org/user/profile ------------------------------ Sadeem Ali MD Bridgeport WV (612) 865-9067 ---------------------...
View Discussion
RE: Artifical Intelligence Clinical Applications 21 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...
View Discussion
RE: Artifical Intelligence Clinical Applications 22 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...
View Discussion
RE: hyperaldosteronism without symptoms 22 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...
View Discussion
A regular hemodialysis in an ESRD patient with a serum HCO3- of 7 meq/l after missing dialysis for 2 weeks? 23 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...
View Discussion
RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 23 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...
View Discussion
RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 1 day 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...
View Discussion
RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 1 day ago
Was the temporal artery biopsy done? Or Doppler ultrasound of the temporal artery? Was the ESR very high? ------------------------------ Satish B...
View Discussion
RE: hyperaldosteronism without symptoms 1 day ago
Understood, but this patient is described as clinically euvolemic with a tendency to elevated BP prompting the aldosterone level order. If this i...
View Discussion
RE: Membranous Nephropathy With Fouriner Gangrene 1 day ago
Scrotal infection can spread very rapidly and impending Fournier gangrene is a severe infection. This is not a situation that needs immediate immun...
View Discussion
RE: hyperaldosteronism without symptoms 1 day 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....
View Discussion
RE: Membranous Nephropathy With Fouriner Gangrene 1 day 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...
View Discussion
RE: Membranous Nephropathy With Fouriner Gangrene 1 day 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 ...
View Discussion
RE: Membranous Nephropathy With Fouriner Gangrene 1 day 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 ...
View Discussion
RE: hyperaldosteronism without symptoms 1 day 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...
View Discussion
Membranous Nephropathy With Fouriner Gangrene 1 day 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...
View Discussion
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...
View Discussion
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...
View Discussion
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 ...
View Discussion
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...
View Discussion
RE: Lupus podocytopathy 1 day ago
This is very informative, thanks a lot. ------------------------------ Amaar Bakhit, MD Consultant Nephrologist King Saud University Medical City...
View Discussion
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...
View Discussion
RE: Lupus podocytopathy 1 day ago
Thank you very much for your response and valuable opinion. ------------------------------ A. Bakhit, MD Consultant Nephrologist KSUMC Ri...
View Discussion
RE: refractory temporal arteritis ( GCA) vs steroid myopathy vs. 2 days 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...
View Discussion
RE: Lupus podocytopathy 2 days ago
The findings in this case certainly warrant the "diagnosis " of lupus podocytopathy (or minimal change lesion (MCL) in a patient withSLE) . The ass...
View Discussion
Lupus podocytopathy 2 days 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...
View Discussion
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...
View Discussion
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...
View Discussion
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...
View Discussion
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...
View Discussion
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...
View Discussion
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...
View Discussion
RE: PSGN in cirrhosis 3 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...
View Discussion
RE: IgA Nephritis and pneumonia, underlying CKD with co morbidities 3 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...
View Discussion
RE: IgA Nephritis and pneumonia, underlying CKD with co morbidities 3 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...
View Discussion
RE: Duration of immunosuppression in PR3 ANCA vasculitis 3 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...
View Discussion
RE: Duration of immunosuppression in PR3 ANCA vasculitis 3 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...
View Discussion
RE: PSGN in cirrhosis 3 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...
View Discussion