This is a topic that is often given as a reason by students and residents for choosing a nephrology elective, wanting to understand acid base disorders. There are multiple ways to assess acid base status. Physiologic Approach Base Excess Approach Stewart Method Nephrologists use the Physiologic approach. What is this? There is an
How do we decide the treatment time or duration of dialysis? How do we assess if a patient is getting sufficient dialysis? Dialysis adequacy refers to the clearance of uremic toxins. Although we use BUN, creatinine and eGFR to assess the degree of kidney function, we don’t use these parameters to assess the
Minimal change disease is a glomerular disease that causes nephrotic syndrome and the first one I’ll be reviewing in this series. Called minimal change as the glomeruli look normal (there are minimal glomerular changes) on light microscopy. Also referred to NIL disease, not sure why they called it that. NIL might be an
Just like in hyperkalemia A useful framework for evaluating nephrology electrolyte issues like hypokalemia is: Too little in Cellular shifts Too much out Before we get to that there also can be artifactual hypokalemia. This happens when the potassium in the body is normal, but enters the cells ex vivo, in the collection
