Discover and read the best of Twitter Threads about #nsmc
Most recents (24)
🧵1/ A nephrologist's retrospective
🤔This is the result!
Among talented, dedicated people I was nominated, I somehow won. I felt humble and shocked... So unreal, trying to understand why my name is there
#NephjCkidneys #NSMC
nephjc.com/news/2022/11/5…
🤔This is the result!
Among talented, dedicated people I was nominated, I somehow won. I felt humble and shocked... So unreal, trying to understand why my name is there
#NephjCkidneys #NSMC
nephjc.com/news/2022/11/5…
2/ 🧵Here it starts, in Jan 2022:
Hi, my name is Cristina, and I'm a🇷🇴nephrologist, too shy to stand out in a crowd, lost after finishing my residency. Teaching, the idea of continuing my Phd made me keep my head above the water
Too busy with life, constantly seeking
Hi, my name is Cristina, and I'm a🇷🇴nephrologist, too shy to stand out in a crowd, lost after finishing my residency. Teaching, the idea of continuing my Phd made me keep my head above the water
Too busy with life, constantly seeking
3/ I got over myself and made courage to pursue the thought I had a few months before -> #NSMC
After waiting impatiently, I got my answer through this mail ✨
After waiting impatiently, I got my answer through this mail ✨
1/
Oh no! This patient is coming with heart failure exacerbation again. He is taking his diuretics but it seems they do not work. What can we do?
#DiureticResistanceMechanisms
#NephMadness #NephTwitter #MedTwitter
Oh no! This patient is coming with heart failure exacerbation again. He is taking his diuretics but it seems they do not work. What can we do?
#DiureticResistanceMechanisms
#NephMadness #NephTwitter #MedTwitter
2/
#DiureticResistance
Diuretic resistance is the failure to achieve euvolemia despite increasing doses or maximal tolerated diuretic therapy
#DiureticResistance
Diuretic resistance is the failure to achieve euvolemia despite increasing doses or maximal tolerated diuretic therapy
3/
What will be your first line to use to diurese a patient?
What will be your first line to use to diurese a patient?
I cannot believe a year has gone by 🗓️🏃♀️
What an absolutely incredible experience the w/ @NSMCInternship. Thank you so much to all #NSMC faculty mentors, but especially to @docanjuyadav @kidney_boy @hswapnil & @Nephro_Sparks.
Wish this graduation night could have been in-person!
What an absolutely incredible experience the w/ @NSMCInternship. Thank you so much to all #NSMC faculty mentors, but especially to @docanjuyadav @kidney_boy @hswapnil & @Nephro_Sparks.
Wish this graduation night could have been in-person!
For anyone interested in #nephrology education and/or sharpening your social medial skills, the @NSMCInternship is the absolute best! 🏆
I cannot recommend this highly enough!
👉 nsmc.blog/about
#FOAMed #MedEd #NephForward
I cannot recommend this highly enough!
👉 nsmc.blog/about
#FOAMed #MedEd #NephForward
Shout out to #NSMC2021 👉 #TeamTwobules
Thank you so much! Amazing group!
👊
@TheBeaniac @bourneauguste @Dilushiwijay @katierizzolo @menonshina @janewitwong @varunnephro @docanjuyadav @ssfarouk @vandyniyyar @divyaa24 @DrFlashHeart @drM_sudha @PabloGarciaMD @DiMiRenalMD
👊
Thank you so much! Amazing group!
👊
@TheBeaniac @bourneauguste @Dilushiwijay @katierizzolo @menonshina @janewitwong @varunnephro @docanjuyadav @ssfarouk @vandyniyyar @divyaa24 @DrFlashHeart @drM_sudha @PabloGarciaMD @DiMiRenalMD
👊
1/
📢Tweetorial alert!
Hey #medtwitter! Have you checked out @TheskeletonKG latest case - a rare cause of hypokalemia?
renalfellow.org/2021/05/22/ske…
Let's go through it together
#NSMC #FOAMed #NephTwitter @NSMCInternship
📢Tweetorial alert!
Hey #medtwitter! Have you checked out @TheskeletonKG latest case - a rare cause of hypokalemia?
renalfellow.org/2021/05/22/ske…
Let's go through it together
#NSMC #FOAMed #NephTwitter @NSMCInternship
2/
A 32-year-old woman, presented to the clinic with B/L lower extremity weakness & upper limb cramping for 2 weeks. Motor power 3/5 in lower limbs & 4/5 in upper limbs. B/L ankle & knee jerk reflexes were absent. She had 1 such episode in the past which recovered spontaneously.
A 32-year-old woman, presented to the clinic with B/L lower extremity weakness & upper limb cramping for 2 weeks. Motor power 3/5 in lower limbs & 4/5 in upper limbs. B/L ankle & knee jerk reflexes were absent. She had 1 such episode in the past which recovered spontaneously.
3/
She denied using any medications before the onset of symptoms. She had no family history of kidney disease. Her labs showed ⏬K⏬Mg, normal TSH and negative ANA. USG of the abdomen was normal.
She denied using any medications before the onset of symptoms. She had no family history of kidney disease. Her labs showed ⏬K⏬Mg, normal TSH and negative ANA. USG of the abdomen was normal.
1/ I often get asked about the presence of granular casts on the automated UA reported by the lab whether it is equivalent to seeing muddy brown casts.
❓Do you think granular casts can be used to diagnose ATN?
More to see in #NephMadness on #liquidbiopsy
@NSMCInternship
❓Do you think granular casts can be used to diagnose ATN?
More to see in #NephMadness on #liquidbiopsy
@NSMCInternship
2/ Spin the urine! This is one of the maneuvers that I enjoy doing with residents the most as there is a lot to uncover.
I totally underestimated the power of this test. How many times have you spun the urine yourself before nephrology training?
I totally underestimated the power of this test. How many times have you spun the urine yourself before nephrology training?
3/ The clinical properties of urine have long been described by the medical community.
‘Diabetic’ (polyuric) disorders were classified as ‘mellitus’ (honey-sweet) or ‘insipidus (flavorless) based on the urine’s taste!
#NephMadness #liquidbiopsy
‘Diabetic’ (polyuric) disorders were classified as ‘mellitus’ (honey-sweet) or ‘insipidus (flavorless) based on the urine’s taste!
#NephMadness #liquidbiopsy
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/
1/🧵
🔥PART 2/2 on #PD catheter complications
#NephTwitter #NSMC #medtweetorials #medtwitter #Nephmadness
You see a patient w/ a past history of C-section for poor inflow/outflow 1️⃣ week post laparoscopic PD catheter insertion
📊What are the possible causes of flow problems?
🔥PART 2/2 on #PD catheter complications
#NephTwitter #NSMC #medtweetorials #medtwitter #Nephmadness
You see a patient w/ a past history of C-section for poor inflow/outflow 1️⃣ week post laparoscopic PD catheter insertion
📊What are the possible causes of flow problems?
2/
What’s your approach to flow?
1️⃣ Catheter irrigation → 1L of solution (dialysate/saline)
2️⃣ If slow fill → Flush/aspirate with syringe (aseptic technique! 🧤 😷)
3️⃣ If resistance both ways → Likely two-way obstruction
👇 Use an approach to catheter flow problems:
What’s your approach to flow?
1️⃣ Catheter irrigation → 1L of solution (dialysate/saline)
2️⃣ If slow fill → Flush/aspirate with syringe (aseptic technique! 🧤 😷)
3️⃣ If resistance both ways → Likely two-way obstruction
👇 Use an approach to catheter flow problems:
3/
➡️⬅️obstructions due to intraluminal/extraluminal process
👉Fibrin → most common cause of intraluminal obstruction
👉Fibrin → arises with inflammation (e.g. peritonitis)/embedded catheters too!
👉 Diagnose by clinical suspicion (🔎 for fibrin traces in drain bag)
➡️⬅️obstructions due to intraluminal/extraluminal process
👉Fibrin → most common cause of intraluminal obstruction
👉Fibrin → arises with inflammation (e.g. peritonitis)/embedded catheters too!
👉 Diagnose by clinical suspicion (🔎 for fibrin traces in drain bag)
1/ What causes #AKI with extracorporeal membrane oxygenation (ECMO)?
🗣️🗣️Let’s explore this 🔥topic from #NephMadness 2021
🧵#tweetorial #CriticalCare #NephTwitter @NSMCinternship @ASPNeph
Poll: How common is AKI in patients receiving ECMO?
🗣️🗣️Let’s explore this 🔥topic from #NephMadness 2021
🧵#tweetorial #CriticalCare #NephTwitter @NSMCinternship @ASPNeph
Poll: How common is AKI in patients receiving ECMO?
2/ Basics first:
⚡️ECMO: temporary mechanical assistance device that provides prolonged cardiopulmonary support
⚡️Venovenous (VV) ECMO→ full respiratory support
⚡️Venoarterial (VA) ECMO→ both respiratory and hemodynamic support
ajkd.org/article/S0272-…
⚡️ECMO: temporary mechanical assistance device that provides prolonged cardiopulmonary support
⚡️Venovenous (VV) ECMO→ full respiratory support
⚡️Venoarterial (VA) ECMO→ both respiratory and hemodynamic support
ajkd.org/article/S0272-…
1/ 💥Hello, #Nephtwitter 💥
⚡️Let’s talk a little bit about #ciliopathies today.
⚡️How are Nephronophthisis (NPHP), polycystic kidney disease (PKD), & in fact many cystic diseases (aka #ciliopathies) related?!
Join me in the exploration-
#tweetorial #MedTwitter #ASPNeph #NSMC
⚡️Let’s talk a little bit about #ciliopathies today.
⚡️How are Nephronophthisis (NPHP), polycystic kidney disease (PKD), & in fact many cystic diseases (aka #ciliopathies) related?!
Join me in the exploration-
#tweetorial #MedTwitter #ASPNeph #NSMC
2/ 💥Let’s begin with Cilia-
📌Motile cilia- generate flow of mucus & CSF
📌Non-motile/sensory cilia (inner ear, retina, & olfactory epithelium)
- plays a part in important pathways [Hedgehog, Wnt (wingless-Int-1), & PCP (planar cell polarity) signaling]
ncbi.nlm.nih.gov/pmc/articles/P…
📌Motile cilia- generate flow of mucus & CSF
📌Non-motile/sensory cilia (inner ear, retina, & olfactory epithelium)
- plays a part in important pathways [Hedgehog, Wnt (wingless-Int-1), & PCP (planar cell polarity) signaling]
ncbi.nlm.nih.gov/pmc/articles/P…
3/Now let’s move on to💥Cystoproteins💥
📌These are proteins in cilia when mutated → cystic kidney diseases in humans, mice, or zebrafish
📌expressed in primary cilia, basal bodies or centrosomes
📌These are proteins in cilia when mutated → cystic kidney diseases in humans, mice, or zebrafish
📌expressed in primary cilia, basal bodies or centrosomes
1/ A tweetorial on antigens and antibodies seen in primary membranous nephropathy @NSMCInternship
What’s the latest so far?
What’s the latest so far?
2/ Let's start with a poll: which of the following antigens are not associated with primary membranous nephropathy:
3/ Primary MN
⚡️20-30% of nephrotic syndrome in Caucasian adults
⚡️MN reflects GBM thickening with little/no cellular proliferation/infiltration on LM
⚡️Several antigens discovered: PLA2R, THSD7A, NELL-1, Semaphorin 3B
⚡️No antigens identifiable in 15-20% cases
⚡️20-30% of nephrotic syndrome in Caucasian adults
⚡️MN reflects GBM thickening with little/no cellular proliferation/infiltration on LM
⚡️Several antigens discovered: PLA2R, THSD7A, NELL-1, Semaphorin 3B
⚡️No antigens identifiable in 15-20% cases
1/ Paraproteinemic kidney disease: Cast nephropathy, myeloma kidney, MGUS, MGRS, LCCN, AL, AH, MIDD, LCPT…)
Lost in the alphabet soup!!!
Time for an #MGRS #tweetorial
#NephTwitter #Hemetwitter #MedTwitter #Onconephrology #NSMC
Lost in the alphabet soup!!!
Time for an #MGRS #tweetorial
#NephTwitter #Hemetwitter #MedTwitter #Onconephrology #NSMC
2/ Let’s start with a poll: which of the following disease states can cause MGRS (monoclonal gammopathy of renal significance):
3/ Before we get to the answer, let’s dissect the term MGRS:
Monoclonal Gammopathy:
⚡️Signifies the presence of a "monoclonal" immunoglobulin or its components
⚡️Seen as a spike in the "gamma" region on protein electrophoresis
link.springer.com/referenceworke…
Monoclonal Gammopathy:
⚡️Signifies the presence of a "monoclonal" immunoglobulin or its components
⚡️Seen as a spike in the "gamma" region on protein electrophoresis
link.springer.com/referenceworke…
When was the last time you were paged about a serum Cl- level? Probably never.
Despite being the most abundant anion in the body, Cl- is under appreciated
🔥Here’s why it matters (esp in heart failure!)
#tweetorial #medtwitter #nephtwitter #cardiotwitter #NSMC
Despite being the most abundant anion in the body, Cl- is under appreciated
🔥Here’s why it matters (esp in heart failure!)
#tweetorial #medtwitter #nephtwitter #cardiotwitter #NSMC
There is evidence supporting the use of hypertonic saline in patients with decompensated heart failure
See excellent blog post by @aldorodrig
👉 renalfellow.org/2019/04/03/the…
Mechanistically it never made sense to me, until I realized I may be focusing on the wrong ion 🤷🏾♂️
See excellent blog post by @aldorodrig
👉 renalfellow.org/2019/04/03/the…
Mechanistically it never made sense to me, until I realized I may be focusing on the wrong ion 🤷🏾♂️
Chloride MAY be the 🔑 here. Something that will hopefully be more clear after the completion of ongoing trials
👉🏾 clinicaltrials.gov/ct2/show/NCT03…
In heart failure patients ⬇️ Cl- is associated with
1. Poor Prognosis
2. Neurohumoral activation
3. Diuretic Resistance
👉🏾 clinicaltrials.gov/ct2/show/NCT03…
In heart failure patients ⬇️ Cl- is associated with
1. Poor Prognosis
2. Neurohumoral activation
3. Diuretic Resistance
📌Visual abstract (VA), seems to be a rising star🌟 in this new #meded & #FOAM era
Many journals are adopting VA
Cool clubs like #NSMC, #NephJC uses VA
How about we discuss creating a VA, shall we!?
#Nephtwitter #medtwitter #podkopiluwak #tweetorial
Many journals are adopting VA
Cool clubs like #NSMC, #NephJC uses VA
How about we discuss creating a VA, shall we!?
#Nephtwitter #medtwitter #podkopiluwak #tweetorial
📌How confident are you in creating a #visualabstract?
📌Don’t worry... if you have a PowerPoint program and interest in making one, you CAN make one.
LET YOUR IMAGINATION FLY!!!
Btw, I am option b
LET YOUR IMAGINATION FLY!!!
Btw, I am option b
1/14
Meet Hilda. I was one of her doctors. When she died, she left 2 sons behind. My grief about her situation brought anger and then determination.
A #tweetorial on outcomes, advocacy, and policy in dialysis access for undocumented immigrants.
#medtwitter #nephtwitter #NSMC
Meet Hilda. I was one of her doctors. When she died, she left 2 sons behind. My grief about her situation brought anger and then determination.
A #tweetorial on outcomes, advocacy, and policy in dialysis access for undocumented immigrants.
#medtwitter #nephtwitter #NSMC
2/14
Hilda suffered along with the other 80 undocumented immigrants with kidney failure, who in Colorado could only receive dialysis every 6 to 7 days when at the brink of death (=’emergency dialysis’).
journalofhospitalmedicine.com/jhospmed/artic…
Illustration @NathanAGray
Hilda suffered along with the other 80 undocumented immigrants with kidney failure, who in Colorado could only receive dialysis every 6 to 7 days when at the brink of death (=’emergency dialysis’).
journalofhospitalmedicine.com/jhospmed/artic…
Illustration @NathanAGray
3/14
An estimated 6000-8000 undocumented immigrants with kidney failure have limited access to care due to exclusion from Medicare, provisions of ACA & some Medicaid programs.
This U.S. map shows where dialysis is covered by Medicaid (green).
cjasn.asnjournals.org/content/14/8/1…
An estimated 6000-8000 undocumented immigrants with kidney failure have limited access to care due to exclusion from Medicare, provisions of ACA & some Medicaid programs.
This U.S. map shows where dialysis is covered by Medicaid (green).
cjasn.asnjournals.org/content/14/8/1…
😇Acidosis in DKA: Why the Gap⁉️
Hello, #nephtwitter, hope you enjoyed the latest blog post renalfellow.org/2020/08/13/the…
Let’s talk all about
⚡Diabetic Ketoacidosis⚡………
⚡Are you ready⁉️
💥#Tweetorial #DKA #Acidosis #Aniongap @TheSkeletonKG #NSMC @podkopiluwak💥
Hello, #nephtwitter, hope you enjoyed the latest blog post renalfellow.org/2020/08/13/the…
Let’s talk all about
⚡Diabetic Ketoacidosis⚡………
⚡Are you ready⁉️
💥#Tweetorial #DKA #Acidosis #Aniongap @TheSkeletonKG #NSMC @podkopiluwak💥
2a/💢 Let’s consider a 44 yo M presents with altered mentation🧠. ✨He has a fruity odor on his breath. Glucose was 1000 with serum bicarb of 10.
✨Urine dipstick was negative for ketones. Is this patient in DKA❓
✨Urine dipstick was negative for ketones. Is this patient in DKA❓
2b/ What is responsible for his fruity fetor?
“What is the role of vasopressin?”
A nephrologist will talk about osmolality and aquaporins.
An intensivist might talk about its use as a pressor.
But, ask an evolutionary or social scientist and you might be surprised by the answer…
#MedTwitter #NephTwitter #NSMC
A nephrologist will talk about osmolality and aquaporins.
An intensivist might talk about its use as a pressor.
But, ask an evolutionary or social scientist and you might be surprised by the answer…
#MedTwitter #NephTwitter #NSMC
Arginine vasopressin (AVP), also known as antidiuretic hormone (ADH), is a short peptide hormone coded by ⒸⓎⒻⓆⓃⒸⓅⓇⒼ.
We have a similar peptide, ⒸⓎⒾⓆⓃⒸⓅⓁⒼ, floating around in our bodies.
Is this AVP, too?
We have a similar peptide, ⒸⓎⒾⓆⓃⒸⓅⓁⒼ, floating around in our bodies.
Is this AVP, too?
Nope: it’s oxytocin.
Oxytocin & vasopressin are evolutionary cousins located side-by-side on human chromosome 20. Invertebrates have one hybrid copy. Tandem duplication in the common jawed vertebrate ancestor gave rise to our two gene copies.
Image from science.sciencemag.org/content/322/59….
Oxytocin & vasopressin are evolutionary cousins located side-by-side on human chromosome 20. Invertebrates have one hybrid copy. Tandem duplication in the common jawed vertebrate ancestor gave rise to our two gene copies.
Image from science.sciencemag.org/content/322/59….
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...🤓🦾
1/ 🔥 Check out this special issue of “Nephrology and Social Media” in Seminars in Nephrology.
Here is a thread of these amazing articles and the VA’s made by the #NSMC team.
#NephTwitter #MedTwitter #NephJC #HCSM
sciencedirect.com/journal/semina…
Here is a thread of these amazing articles and the VA’s made by the #NSMC team.
#NephTwitter #MedTwitter #NephJC #HCSM
sciencedirect.com/journal/semina…
2/ “Introduction: Social Media and Medical Education Come of Age” by @kidney_boy
#NephTwitter #MedTwitter #NephJC #HCSM
sciencedirect.com/science/articl…
#NephTwitter #MedTwitter #NephJC #HCSM
sciencedirect.com/science/articl…
3/ “To Tweet or Not to Tweet, That Is the Question” by @aoglasser, @RJmdphilly, @michellebr00ks
VA by @iheartkidneys
#NephTwitter #MedTwitter #NephJC #HCSM
sciencedirect.com/science/articl…
VA by @iheartkidneys
#NephTwitter #MedTwitter #NephJC #HCSM
sciencedirect.com/science/articl…
Hope you liked our latest post by @nepherson @renalfellownetwork #NSMC #Nephtwitter #FOAMED #tweetorial @TheSkeletonKG @NSMCInternship
renalfellow.org/2020/05/11/ske…
skeletonkey.group
renalfellow.org/2020/05/11/ske…
skeletonkey.group
1/15
Let's start with a question: Have you ever overshot your goal for hyponatremia correction ?
Let's start with a question: Have you ever overshot your goal for hyponatremia correction ?
2/15
Hyponatremia overcorrection ↗️ is one of the most common dyselectrolytemia which keeps us on our toes.
✅ Let's discuss some strategies to prevent overcorrection ↗️
Hyponatremia overcorrection ↗️ is one of the most common dyselectrolytemia which keeps us on our toes.
✅ Let's discuss some strategies to prevent overcorrection ↗️
Did you check out the latest SKG case? Read all about it in this awesome and fun thread by @nepherson
👇
⚡️Taking inspiration, here’s a 🧵on the complications of hyponatremia
#NSMC #Tweetorial @TheSkeletonKG
👇
👇
⚡️Taking inspiration, here’s a 🧵on the complications of hyponatremia
#NSMC #Tweetorial @TheSkeletonKG
👇
1/22
But before we start - I have two words for you!
☝️OSMOLALITY and
✌️TONICITY
Are they the same or are they not?
🤔
But before we start - I have two words for you!
☝️OSMOLALITY and
✌️TONICITY
Are they the same or are they not?
🤔
Are OSMOLALITY and TONICITY the same thing?
This week at #NephJC we took a break from #COVID19 to discuss the @NEJM ISCHEMIA-CKD trial🧑🏫👨🏫
⚡️For those of you who missed it, here’s a recap in the form of a🧵
nejm.org/doi/full/10.10…
Thanks @amyaimei and @Vernisartan for being such great mentors and helping me out! #NSMC
⚡️For those of you who missed it, here’s a recap in the form of a🧵
nejm.org/doi/full/10.10…
Thanks @amyaimei and @Vernisartan for being such great mentors and helping me out! #NSMC
But first, lets take a quick poll
👉Do you advise your patients with advanced CKD (GFR<30 mL/min/1.73m2) and moderate myocardial ischemia to go for coronary angiography?👈
👉Do you advise your patients with advanced CKD (GFR<30 mL/min/1.73m2) and moderate myocardial ischemia to go for coronary angiography?👈
<1> Background
First off, let’s appreciate 👏 @SripalBangalore and the ISCHEMIA-CKD group for this Herculean 💪 task.
All previous revascularization trials have neglected ✖️advanced CKD patients (GFR < 30 mL/min/1.73m2).
Perhaps good old ‘Renalism’ was at play? 🤔
First off, let’s appreciate 👏 @SripalBangalore and the ISCHEMIA-CKD group for this Herculean 💪 task.
All previous revascularization trials have neglected ✖️advanced CKD patients (GFR < 30 mL/min/1.73m2).
Perhaps good old ‘Renalism’ was at play? 🤔
🌍Earth's temp🌡️ has ⬆️ 0.8°C in the past decades🤨
Is this changing pattern of climate threatening 👀 kidney health❓
Let's find out why this global rise in temp concerns nephrologists so much❓
🌍🔥🌍🔥🌍🔥
💥Tweetorial alert 💥
#NephMadness #NephTweetorial #NSMC
Is this changing pattern of climate threatening 👀 kidney health❓
Let's find out why this global rise in temp concerns nephrologists so much❓
🌍🔥🌍🔥🌍🔥
💥Tweetorial alert 💥
#NephMadness #NephTweetorial #NSMC
What makes the kidneys more susceptible to acute injury from climate change?
Kidney is an amazing organ🙃🙂
⚡️It excretes concentrated waste ( To minimize fluid loss)
⚡️It is highly metabolic work🥵🥶
⚡️It excretes concentrated waste ( To minimize fluid loss)
⚡️It is highly metabolic work🥵🥶
If you're interested to see what infectious disease specialists are saying, here are 300+ of them.
@DrJRMarcelin @GermHunterMD @jdcooperid please let me know if I am missing anyone #IDTwitter
twitter.com/i/lists/123876…
@DrJRMarcelin @GermHunterMD @jdcooperid please let me know if I am missing anyone #IDTwitter
twitter.com/i/lists/123876…
If you're interested to see what emergency medicine professionals are saying, here are 150+ of them.
@darakass @MDaware @SortaUpToDate please let me know if I'm missing anyone
twitter.com/i/lists/124810…
@darakass @MDaware @SortaUpToDate please let me know if I'm missing anyone
twitter.com/i/lists/124810…
If you're interested to see what hospital medicine professionals are saying, here are 100+ of them.
@CarolMarceloMD @buckeye_sanjay @katiewiskar please let me know if I'm missing anyone
twitter.com/i/lists/124816…
@CarolMarceloMD @buckeye_sanjay @katiewiskar please let me know if I'm missing anyone
twitter.com/i/lists/124816…
Ever wondered what causes edema in nephrotic syndrome (NS)? #nephtwitter #medtwitter #nsmc #Tweetorial #NephroticSyndrome #edema #albumin😃
Edema in NS is secondary to?
2 major factors thought to contribute to edema in NS. 1. Underfill hypothesis: low s. albumin➡️low plasma oncotic pressure➡️imbalanced starling forces➡️fluid leak into interstitium➡️reduced effective circulating blood volume➡️activation of RAAS, SNS, AVP
researchgate.net/figure/The-Und…
researchgate.net/figure/The-Und…
