Rituximab 💉and HBV🦠 Prophylaxis
Active HBV --> Avoid ritux ❎
HBV carrier state --> prophylaxis for 18 months ✅
Prior HBV infection --> Moniter every 3 months 🧐
.
source - AJKD core curriculum
www.ajkd.org/article/S027...

#Nephsky
#Medsky

interesting mechanism of action of HCQ in Sjogren's syndrome
- source - uptodate
#nephsky
#Medsky

2013 paper Emphasizing no role for urine for eosinophils in diagnosing acute interstitial nephritis 🔬

PPV - only 15% 😔
Sensitivity - only 30% 😑

journals.lww.com/cjasn/fullte...

#nephsky
#medsky

Cant be more beautiful than this ❤️
#nephsky
#Medsky

www.ajkd.org/article/S027...

Interesting that sick day protocol with tolvaptan in ADPKD includes not only conditions causing volume depletion but also situations with limited water access like long travel in car, air travel etc 😯

@kdigo.org ADPKD guidelines
#nephsky
#Medsky

DNB released prospectus for nephrology exam

But I'm not understanding this condition 😐🤷🏻

#nephsky
#Medsky

Kidneys are way smarter than we think ❤️

From Guyton physiology

ureter renal reflex !

When ureter is blocked (eg stone) afferent from ureter goes to afferent arteriole to reduce urine formation in the blocked system !
#Nephsky
#medsky

Fast forward to 1939

cortisol was named "compound F" when discovered, and hydrocortisone as "compound E" - hence the name THF and THE !!!

Syndrome of apparent mineralocorticoid excess

increased urine THF - tetrahydrocortisol and THE - tetrahydrocortisone

But there is no F in cortisol - why it is called THF

#Nephsky
#Medsky

2/2

"If you are in the placebo group [of a clinical trial], then
you are not receiving any hope of disease control or
remission....That is terrifying"

Again, I am going to put myself through this [clinical trial]
in hopes of receiving the drug that could increase my kidney function by 10%.”

The Importance of Hope in Patients with CKD❤️

From AJKD in a few words

A few inspiring patient quotes from

www.ajkd.org/action/showP...

"...every month you go for your blood test and you kind of
hope and pray that the results are going to be good."

#Nephsky
#Medsky

1/2

Ofcourse 😂😀

Superficially, it might be said that the function of the kidneys is to make urine, but in a more considered view, one can say that the kidneys make the stuff of philosophy itself. ❤️❤️
#fishtophilosopher
#nephsky

Nephrology - is not for normal doctors but for exceptionally skilled physicians 😎
#nephsky

from
www.thelancet.com/journals/lan....