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Raghunath M @raghumnephdoc.bsky.social · Sep 2

See it to believe it! The heights(depths) of compensation! #nephsky

abg showing severe metabolic acidosis in a pt with esrf

Raghunath M @raghumnephdoc.bsky.social · Aug 24

#morningrun

Reposted by Raghunath M

Darren Dahly @statsepi.bsky.social · Aug 18

Useful guidance for bashing reviewers in the face when they talk beyond their expertise.

Determining sample size for pilot trials: a tutorial

www.bmj.com/content/bmj/...

www.bmj.com

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Reposted by Raghunath M

Jay R. Seltzer, MD @jrseltzer.bsky.social · Aug 16

Acanthocyte - phase contrast (original mag x400) - from patient with hydralazine-induced vasculitis #UrineMicroscopy #UrinarySediment

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Raghunath M @raghumnephdoc.bsky.social · Aug 16

Hydranca strikes again. I just wonder whether we are missing a lot of hydralazine induced vasculitis here in our place. Hydralzine+- nitrate is such a big hit among our cardios. Or is there a race predeliction for this? 🤷

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Raghunath M @raghumnephdoc.bsky.social · Aug 15

#gardenfeed
Bridal bouquet in rain

Raghunath M @raghumnephdoc.bsky.social · Aug 15

2/2 whats against MEST score? it being a snapshot in time? no trial evidence?

Raghunath M @raghumnephdoc.bsky.social · Aug 15

1/2 They say MEST scoring shouldn't inform Rx decisions. But it does, doesn't it? Witha high M/E score you would like to give strong antinflamm rx; you would think twice about giving steroid/mmf with S1/T2 score. So it does influence your choice in a way.
#nephsky

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Raghunath M @raghumnephdoc.bsky.social · Aug 2

Very subtle 😂

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Raghunath M @raghumnephdoc.bsky.social · Aug 1

Had a doctor patient, 37M, few days back with young onset HTN and USG showing AML and few cysts b/l. No family history. Have advised genetic testing. Let's see.

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Raghunath M @raghumnephdoc.bsky.social · Jul 28

Thank you

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Raghunath M @raghumnephdoc.bsky.social · Jul 28

Can someone make sense of this figure? It's from the nephjc article on EMPAKIDNEY followup trial. Does this mean that the longer you remain on sglt2is, the benifit wanes over time? Am I reading that right? #nephsky

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Reposted by Raghunath M

Sreejith Parameswaran @sreejithdr.bsky.social · Jul 26

I spoke about 'Biomarkers in AKI' at the Critical Care Nephrology Conference (CCNA 2.0) at Mumbai earlier today. A short tutorial.
#AKI #CCNA2.0
1/18

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Raghunath M @raghumnephdoc.bsky.social · Jul 27

Tamil one. 'Margan'.

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Raghunath M @raghumnephdoc.bsky.social · Jul 26

When even movie script writers reach for hydralazine so fast, nephrologists don't stand a chance! @hswapnil.medsky.social
@kidneyboy.bsky.social

Scene from a movie where a doctor comments on a high BP in a patient.

The doctor asks the nurse to give iv hydralazine for the BP . We all know nephrologists hate hydralazine.

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Raghunath M @raghumnephdoc.bsky.social · Jul 24

Not in Trichur I assure you😁. See them every night.

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Reposted by Raghunath M

ISNkidneycare @theisn.org · Jul 16

1/ July 16 is #WorldSnakeDay - raising awareness of the incredible diversity of snakes and their vital role in our ecosystems. But did you know snakebites can also cause acute kidney injury? Join me, Dr. Fong Voon Ken, as we discuss their impact, management, and the need for awareness.

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Reposted by Raghunath M

Brendon Neuen @brendonneuen.bsky.social · Jul 15

SGLT2i in CKD: impact beyond kidneys

🔻 15% all-cause hospitalizations
✅ Consistent regardless of eGFR, UACR & diabetes
🏥 ~36 fewer hospitalizations per 1000 pt-years

Large absolute gains for patients & health systems

Meta-analysis in @asnpublications.bsky.social

journals.lww.com/cjasn/pages/...

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Raghunath M @raghumnephdoc.bsky.social · Jul 9

@nephjc.bsky.social
#nephjc Raghunath, nephrologist from Kerala, India. No COI. Mostly lurking and learning.

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Raghunath M @raghumnephdoc.bsky.social · Jul 4

And I thought clonidine was just an antiHTNsive only

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Raghunath M @raghumnephdoc.bsky.social · Jul 3

#nephsky Hi! What do you guys would work best in a patient with bx proven IC-MPGN? Nephrotic synd + creat 2. Workup for paraprotein, infection and autoimmune ds negative.
Rtx or CNI or MMF?

Reposted by Raghunath M

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · Jun 27

Check out this from Dr Meghan Sise #NephGR for us on the topic

youtu.be/qFYVhjpnYIU?...

#OncoNeph #NephSky

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Raghunath M @raghumnephdoc.bsky.social · Jun 23

Here in Kerala, India, this would make us think of a viral infection like Dengue. Or even Leptospirosis (but expect the TLCs to be high). Then scrub typhus.

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Raghunath M @raghumnephdoc.bsky.social · Jun 22

Tough!

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Reposted by Raghunath M

gaspingenemyofgod.bsky.social @gaspingenemyofgod.bsky.social · Jun 18

A 7-year-old lioness reunites with the man who raised her after she was abandoned as a cub 🦁❤️ He slept beside her outside so she'd grow up as naturally as possible. Now she tackles him with love-hugs, face rubs, pure joy-until they collapse in a pile of trust. 🫶 #WildBond #HeartmeltingNature

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