Discover and read the best of Twitter Threads about #NSMCInternship
Most recents (6)
🚨Tweetorial alert🚨
Contraception in patients with kidney disease
🆘 Help! I have a woman of reproductive age in my office for contraception advice!
25-year-old with stage III CKD (eGFR 42) due to reflux nephropathy.
How comfortable are you with providing advice?
Contraception in patients with kidney disease
🆘 Help! I have a woman of reproductive age in my office for contraception advice!
25-year-old with stage III CKD (eGFR 42) due to reflux nephropathy.
How comfortable are you with providing advice?
Does CKD impact the type of birth control a patient can safely use?
Why does it matter?
Only 37% and 27% of respondents in the US and Canada are confident or very confident about contraception counselling - @emhendren’s study mdpi.com/2077-0383/8/2/…
But prevalence of CKD and CKD in women is increasing (1.29xmen)
thelancet.com/article/S0140-…
Only 37% and 27% of respondents in the US and Canada are confident or very confident about contraception counselling - @emhendren’s study mdpi.com/2077-0383/8/2/…
But prevalence of CKD and CKD in women is increasing (1.29xmen)
thelancet.com/article/S0140-…
1/12
It has been more than a century tackling Anemia in CKD since its first description by Richard Bright in 1835.
👉 #NephMadness 2021 is featuring strong contenders from the #AnemiaRegion.
🤔 Let's find out why Anemia in CKD is an important consideration. #NSMCInternship
It has been more than a century tackling Anemia in CKD since its first description by Richard Bright in 1835.
👉 #NephMadness 2021 is featuring strong contenders from the #AnemiaRegion.
🤔 Let's find out why Anemia in CKD is an important consideration. #NSMCInternship
2/📊 What % of patients with CKD stage 4 have anemia based on KDOQI (Hb <13.5 g/dL for men and <12.0 g/dL for women) and WHO (<13.0 g/dL for men & <12.0 g/dL for women)?
3/
😳 Around 60% of the patients with stage 4 CKD not on dialysis have anemia based on KDOQI/WHO.
😟 Anemia contributes to significant morbidity in patients with CKD.
pubmed.ncbi.nlm.nih.gov/18359408/
😳 Around 60% of the patients with stage 4 CKD not on dialysis have anemia based on KDOQI/WHO.
😟 Anemia contributes to significant morbidity in patients with CKD.
pubmed.ncbi.nlm.nih.gov/18359408/
Tweetorial alert📢
Hello, #nephtwitter, we hope you enjoyed our latest blog post
renalfellow.org/2020/07/20/ske…
Let’s talk all about Low Salt Diet & Ca handling in kidney stones. Are you ready ⁉️
💥#kidneystones #lowsaltdiet #dietmatters #theskeletonKG #NSMCInternship #podkopiluwak💥
Hello, #nephtwitter, we hope you enjoyed our latest blog post
renalfellow.org/2020/07/20/ske…
Let’s talk all about Low Salt Diet & Ca handling in kidney stones. Are you ready ⁉️
💥#kidneystones #lowsaltdiet #dietmatters #theskeletonKG #NSMCInternship #podkopiluwak💥
2/ Kidney stones 🪨 💎🔶♦️💠are a worldwide issue with increasing prevalence. Calcium stones (oxalate > phosphate) - most common (75%).
📍Which of the following contribute to stone formation?
📍Which of the following contribute to stone formation?
3/ All the above.
Nevertheless, dietary factors are modifiable.
Look, now we have some control, eh...🤓🦾
Nevertheless, dietary factors are modifiable.
Look, now we have some control, eh...🤓🦾
Do you often check a FeNa when working up a patient with AKI?
In my experience it’s ordered reflexively
But is this a good idea? Is a FeNa actually useful?
Let’s find out #NSMCInternship #nephtwitter #tweetorial
Poll!
To differentiate between prerenal AKI and ATN you would
In my experience it’s ordered reflexively
But is this a good idea? Is a FeNa actually useful?
Let’s find out #NSMCInternship #nephtwitter #tweetorial
Poll!
To differentiate between prerenal AKI and ATN you would
In normal circumstances sodium excretion = dietary intake
🔥What goes in must come out = extracellular volume is maintained within a narrow range
⬇️Volume → ⬆️RAAS →⬇️sodium excretion
⬆️Volume → ⬆️ANP → ⬆️sodium excretion
🤷♂️So why not just use UNa as a surrogate?
🔥What goes in must come out = extracellular volume is maintained within a narrow range
⬇️Volume → ⬆️RAAS →⬇️sodium excretion
⬆️Volume → ⬆️ANP → ⬆️sodium excretion
🤷♂️So why not just use UNa as a surrogate?
💡Remember UrNa is affected by concentration (hint: units are mEq/L)
Dilute urine = ⬇️UNa even if excretion is high
Concentrated urine = ⬆️UNa even if total excretion is low
🔥FeNa provides a measure of sodium handling that is INDEPENDENT of urinary concentration
Dilute urine = ⬇️UNa even if excretion is high
Concentrated urine = ⬆️UNa even if total excretion is low
🔥FeNa provides a measure of sodium handling that is INDEPENDENT of urinary concentration
On a lonely morning when you are sipping coffee ☕and peeking at your tweeps🐦, you get a consult for acidosis
Wanna know what do #GI #Urology #Nephrology have in common?
#nephtwitter #urotwitter #medtwitter #FOAMed #theskeletonKG #NSMCinternship
Read our post @RenalFellowNtwk
Wanna know what do #GI #Urology #Nephrology have in common?
#nephtwitter #urotwitter #medtwitter #FOAMed #theskeletonKG #NSMCinternship
Read our post @RenalFellowNtwk
1/ A 55 year old man👨🏻 with urothelial cancer
✂️transurethral tumor resection, radical cystectomy & neobladder reconstruction 3 mons ago
✂️B/L PCNs & ileostomy - postop (urinary and bowel leak)
✂️transurethral tumor resection, radical cystectomy & neobladder reconstruction 3 mons ago
✂️B/L PCNs & ileostomy - postop (urinary and bowel leak)
2/ He was admitted🏥 6 days ago due to increased ostomy output💩🌊 (>4L/day) & dehydration, and has been receiving NS 💧@ 150mL/h
His BMP is-
His BMP is-
