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Monthly Archives: March 2023

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Dialysis Rounding Primer Acute Kidney Injury

It has become more common for patients with dialysis requiring acute kidney injury (AKI) to be dialyzed in the outpatient setting.   With more medically complex patients and the incentive to decrease length of hospitalizations it is not uncommon for patients with dialysis requiring AKI to be discharged from the hospital prior to recovery

By |2023-12-27T16:43:35+00:00March 29th, 2023|Dialysis|0 Comments

Contrast Nephropathy does it exist? How to make it not happen

So some people don’t think contrast nephropathy is real (Don’t look up). The American College of Radiology and National Kidney Foundation looked at the data: Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation It is also reviewed

By |2023-12-27T16:45:24+00:00March 22nd, 2023|Kidney Disease|0 Comments

Pituitary Gland Disorders – A Cause of Hyponatremia

Endocrine disorders are in the differential diagnosis of hyponatremia.  These need to be distinguished from SIADH (Syndrome of Inappropriate Antidiuretic Hormone). In the article on the laboratory evaluation of hyponatremia read here and watch here, we learned that in hypotonic hyponatremia if the urine osmolarity is > 100 ADH is present and that

By |2023-12-27T16:48:34+00:00March 8th, 2023|Hyponatremia|0 Comments

Causes of Nephrotic Syndrome, Evaluation of Nephrotic Proteinuria

What is your differential for nephrotic proteinuria? First: Nephrotic proteinuria > 3.5 grams/ 24 hrs or random urine protein creatinine ratio >3.5 grams per gram Nephrotic syndrome: Nephrotic proteinuria with associated clinical manifestations of hypoalbuminemia, edema, hyperlipidemia As mentioned here: Proteinuria What it is and How I Treat Begin considering these diagnoses when

By |2023-12-27T16:51:45+00:00March 1st, 2023|Proteinuria|0 Comments
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