Dr. Hardik Patel 🩺💉
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hardik4u24.bsky.social
Dr. Hardik Patel 🩺💉
@hardik4u24.bsky.social
Consultant Nephrologist 🫘 | Manipal Goa 🩺 Founder @BuddingNephrologist 🌱IND | Internist | Cricket 🏏 & Sachin Fan | RF 🎾 Fan | Lifelong Learner 📚
🥤#KidneyStone prevention — diet that protects your #kidneys 👇

🔗 doi.org/10.1136/post...

#Nephrology #Urology
October 16, 2025 at 3:49 PM
🔍Proteinuria in monoclonal gammopathy? Don’t miss the diagnostic clues!

🚰uAPR < 40%? Think tubular
🧪uAPR > 40%? Glomerular path ahead

From cast nephropathy to MGRS, biopsy is 🔑

📉LC ≤10%= cast nephropathy
📊LC >10%= #LCPT

🧬 #MGRS = Biopsy it

🔗 doi.org/10.1016/j.lp...

#NephSky #MGRS #MM #Medsky
August 2, 2025 at 4:13 PM
📉 Why are infections so common—and deadly—in people with chronic kidney disease?

🧠 SIDKD (Secondary Immune Deficiency of Kidney Disease) affects gut health, immune cells, metabolism & more.

This visual breaks it down beautifully 👇
🔗 doi.org/10.1097/IMNA... 🆕

🧬 Nephrologists, time to zoom in!
June 17, 2025 at 6:31 PM
🚨NEW Weapons vs #MDR bugs!

💉Explore 3️⃣ hot β-lactam/β-lactamase inhibitor combos:

🦠 Cefepime/enmetazobactam
🦠 Aztreonam/avibactam
🦠 Sulbactam/durlobactam

⚖️💧Renal dose adjustments? Covered👇

🔗 doi.org/10.3390/path... 🆕

#Nephrology #MedTwitter #ICU #ID #Antibiotics #IM
June 16, 2025 at 5:22 PM
Reposted by Dr. Hardik Patel 🩺💉
Reducing CKD burden in Europe: first make the elephant apparent!

doi.org/10.1093/ckj/...
June 12, 2025 at 4:03 PM
Reposted by Dr. Hardik Patel 🩺💉
Chronic Kidney Disease in Older Adults: Trends in Prevalence and Healthcare Service Quality from 2012 to 2018

doi.org/10.1093/ckj/...
Chronic Kidney Disease in Older Adults: Trends in Prevalence and Healthcare Service Quality from 2012 to 2018
AbstractBackground. Data on the healthcare service quality for patients with chronic kidney disease (CKD) are vital for guiding practitioners, patients, an
doi.org
June 16, 2025 at 4:57 PM
💊💓HFrEF management is evolving!
Why wait months to optimize therapy?

👇Compare ESC 2021 vs McMurray/Packer 2021 strategies

💥 SGLT2i | GLP-1RA | Finerenone

Game-changers in 🫀, 🫘 & 🧠

🔗 doi.org/10.3390/jcm1...

#Nephrology #Cardiology #MedEd #SGLT2i #HeartFailure #CKD #IM #MedSky
June 16, 2025 at 5:20 PM
🥩🫘#HRS-AKI is more pre-renal than pre-renal AKI!🤯

Check out this mind-bending FENa table in cirrhosis-related AKI from a must-read #ICU review

🔑note: FENa is helpful—but don’t overtrust it alone!

🔗 doi.org/10.1177/0885... 🆕

#Nephrology #MedEd #AKI #Hepatology #Cirrhosis #NephSky #Hepatorenal
June 15, 2025 at 12:56 PM
🚨#SGLT2 inhibitors in cirrhosis? Where #Nephrology meets #Hepatology

🧪11/11:↓ ascites (💧less taps)
📉7/9: slowed progression (fewer decompensations)
⚠️AKI/hypotension in refractory cases—balance matters!

Dual win:Natriuresis + anti-inflammatory

🔗 doi.org/10.3390/ijms...
June 11, 2025 at 2:14 AM
🎛️Hemoadsorption in septic shock? Not so fast ❌

🚫 Immune meddling, 🎯 non‑selective action, 📉no survival edge &⚠️ potential harm

🔥 Massimo et al. editorial a must‑read for ICU & nephro teams

🔗 doi.org/10.1007/s001... 🆕

#Nephrology #ICU #Sepsis #AKI #CriticalCare #NephSky
June 5, 2025 at 4:54 PM
🚨Peripheral Artery Disease🦵 is up to 6x more common in CKD 🫘

❤️‍🔥Vascular calcification, inflammation & CKD-MBD🦴 fuel the fire 🔥

📉Don’t miss early signs—ankle-brachial index can help!

🔗https://doi.org/10.1093/ckj/sfaf089 @ckj-era.bsky.social review

#MedSky #MedEd #CKD #PAD #Nephrology #NephSky
June 4, 2025 at 3:00 PM
🦸‍♂️🦸‍♀️ Meet the Dynamic Duo in HFpEF/HFrEF!

SGLT2 inhibitors🟰Robin
Finerenone🟰Batman

Together they battle heart failure💔 with preserved/mid-range EF!

🔗 doi.org/10.36660/abc...

#NephSky #CardioRenal #HFpEF #SGLT2i #Finerenone #HeartFailure #MedSky #InternalMedicine
June 1, 2025 at 4:17 PM
🧬🔬Renal biopsy says amyloidosis… what next?

This brilliant IHC-based algorithm 🔁 guides you through AL, AA, & rare amyloid types—don’t miss that dual diagnosis!

🔗 doi.org/10.1159/0005... 🆕

#RenalPath #Amyloidosis #Nephrology #MedSky #BlueSky
May 30, 2025 at 11:51 AM
🫀Heart Failure in CKD🫘 isn’t just about fluid overload — and its Rampant in CKD 🔥-it’s a perfect storm of:

🧬Neurohormones
🦠Inflammation
🧪Uremic toxins
🧱Fibrosis
💣Metabolic chaos

🔗 doi.org/10.1161/CIRC...

#Nephrology #CRS #HF #HeartFailure #CKD #FOAMed #MedEd #IM #NephSky #MedSky
May 25, 2025 at 1:15 PM
🤔Ever seen IgG3 act this wild in the kidney?🫘

🔬PGNMID = mysterious monoclonal Ig with renal-limited fury

🧩Pathophys still unclear but beautifully illustrated here👇

📖Bridoux et al @ndt-era.bsky.social

🔗 doi.org/10.1093/ndt/...

#Nephrology #MGRS #PGNMID #MedTwitter #RenalPath #NephTwitter
May 16, 2025 at 9:07 AM
🚀Adrenal Incidentalomas Demystified

🥴Stumbled upon an adrenal mass ? Here’s your roadmap🚏

👉🏻Workup algorithm—from benign to suspicious 🦀what’s next?

⭐️A must-know for #Nephrology #Endocrinology #Urology 👩‍⚕️

🔗 doi.org/10.1097/JU.0...

#Incidentaloma #FOAMed #MedSky
#NephSky
April 27, 2025 at 5:41 AM
💉Immune checkpoint inhibitors: 🦸‍♂️heroes in cancer🦀, 🦹‍♂️villains for kidneys 🫘?

#ICI-AKI can hit both

Glomeruli (C3GN, MCD, vasculitis)
&
Tubulointerstitium (ATIN, ATN, tubulitis)

📖 doi.org/10.34067/KID... 🆕
@asnpublications.bsky.social K360

#Onconephrology #Nephrology #AKI #NephSky #NephPearls
April 26, 2025 at 9:24 AM
🧰New tools for early ICI-AKI detection!

💧Urine, 🩸 serum, and 📸 imaging markers are changing the game.

Protect kidneys 🫘 , save lives!🌱

🔗 doi.org/10.34067/KID...
@asnpublications.bsky.social K360
@sabinekaram.bsky.social et al

#Nephrology #OncoNephrology #AKI #NephSky #MedSky
#NephPearls
April 26, 2025 at 9:17 AM
🦀🦴Treatment of Cancer-Associated Hypercalcemia

➡️Start with IV fluids
➡️Then hit osteoclasts with #Bisphosphonates or #Denosumab

But remember, real control = treating the malignancy

🔗 www.nejm.org/doi/full/10....

#Hypercalcemia #Malignancy #OncoNephrology #Nephrology #IM #Oncology #MedSky #NephSky
March 30, 2025 at 3:09 PM
The CKD-Gut-Immune Axis: A Vicious Cycle 🫘

Uremic toxins → Gut dysbiosis → Inflammation → Immune dysregulation → CKD progression.

Can probiotics break the cycle?

📖 dx.doi.org/10.5527/wjn.... 2025 🆕

#Probiotics #Nephrology #CKD #GutHealth #Uremia #MedSky #NephSky
March 30, 2025 at 3:05 PM
#Leptospirosis & the #Kidney: A Deadly Duo🦠🫘

Lepto= non-oliguric #AKI→ ATN→ #CKD by blocking Na-K ATPase & inducing vasopressin resistance! Persistent inflammation= fibrosis & kidney failure.

🔗 doi.org/10.1007/s150... 🆕 2025

#Nephrology #InfectiousDiseases #InternalMedicine #MedSky #NephSky
March 22, 2025 at 3:46 AM
💡Pregnancy after transplant? 🤰🫘🫁🫀
What you need to know!

🔹Pre-pregnancy guidance
🔹Organ-specific outcomes
🔹Risks & expert recommendations

📖 doi.org/10.1097/TP.0... 🆕

@gonikatz.bsky.social @ttsorg.bsky.social (2025)

#TransplantNephrology #Pregnancy #Nephrology #MedTwitter #Transplantation
March 15, 2025 at 10:13 AM
⚠️Sterile Peritonitis in PD: Think Beyond Infection 🦠

🔍Not always infection!

A broad differential—drugs, malignancy, retrograde menstruation & more! 🏥💡

Freitas et al
🔗https://doi.org/10.1177/089686080502500207

#Nephrology #PeritonealDialysis #PD #MedEd #FOAMed #Dialysis #NephSky #MedSky
March 15, 2025 at 8:11 AM
🚨Endocrine Hypertension: More Than Just BP🚨

From resistant HTN to adrenal tumors—when should you suspect & how do you approach? 📊🔎

📖Borozan et al., Current Hypertension Reports (2025)
🔗 doi.org/10.1007/s119... 🆕

#Hypertension #Endocrinology #Nephrology #NephSky #MedSky
March 11, 2025 at 4:57 PM
🚰🔄Vesicoureteral Reflux (VUR): A Silent Threat to Kidneys🫘

From mild reflux to severe tortuosity—grading VUR is key📊

Know when & how to investigate🔍
@diseaseprimers.bsky.social

📖 doi.org/10.1038/s415... (2024-Primer)

#Nephrology #PedsNephro #VUR #UTI #MedEd #FOAMed #NephSky #MedSky
March 9, 2025 at 7:20 AM