Acidosis Tubular Renal
@acidosistubular.bsky.social
Acidosis Tubular Renal (ATR)
Reposted by Acidosis Tubular Renal
🌍 History made! For the first time, kidney care is on the global health agenda. #WHA78 adopted a landmark resolution recognizing kidney health in the fight against #NCDs.
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
May 23, 2025 at 2:28 PM
🌍 History made! For the first time, kidney care is on the global health agenda. #WHA78 adopted a landmark resolution recognizing kidney health in the fight against #NCDs.
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
👏 Thanks to Guatemala and the global kidney community for making this possible!
#KidneyHealthMatters
Reposted by Acidosis Tubular Renal
The ISN welcomes the adoption of the resolution "Reducing the burden of noncommunicable diseases through promotion of kidney health and strengthening prevention and control of kidney disease" at #WHA78, a landmark achievement in the global fight against kidney disease.
#KidneyHealthMatters
#KidneyHealthMatters
May 23, 2025 at 3:22 PM
The ISN welcomes the adoption of the resolution "Reducing the burden of noncommunicable diseases through promotion of kidney health and strengthening prevention and control of kidney disease" at #WHA78, a landmark achievement in the global fight against kidney disease.
#KidneyHealthMatters
#KidneyHealthMatters
Hello. Excited for today’s #ECNeph case
a man in a blue shirt and tie is laughing with his hands in the air
ALT: a man in a blue shirt and tie is laughing with his hands in the air
media.tenor.com
March 28, 2025 at 4:06 PM
Hello. Excited for today’s #ECNeph case
Reposted by Acidosis Tubular Renal
4) Ileal conduit. Not that common, but I had 2 consults for them so
👉When urine ⬆️ in NH4Cl empties into a section of the ileum, NH4 is reabsorbed through the Na-H antiporter of the ileum. Bile acid malabsorption may also cause diarrhea.
👉In sigmoid diversion, Cl is absorbed in exchange for HCO3.
👉When urine ⬆️ in NH4Cl empties into a section of the ileum, NH4 is reabsorbed through the Na-H antiporter of the ileum. Bile acid malabsorption may also cause diarrhea.
👉In sigmoid diversion, Cl is absorbed in exchange for HCO3.
Metabolic Consequences after Urinary Diversion
Metabolic disturbances are well-known, but sometimes neglected immediate consequences or late sequelae following urinary diversion (UD) using bowel segments. Whereas subclinical disturbances appear to...
pmc.ncbi.nlm.nih.gov
December 16, 2024 at 6:17 PM
4) Ileal conduit. Not that common, but I had 2 consults for them so
👉When urine ⬆️ in NH4Cl empties into a section of the ileum, NH4 is reabsorbed through the Na-H antiporter of the ileum. Bile acid malabsorption may also cause diarrhea.
👉In sigmoid diversion, Cl is absorbed in exchange for HCO3.
👉When urine ⬆️ in NH4Cl empties into a section of the ileum, NH4 is reabsorbed through the Na-H antiporter of the ileum. Bile acid malabsorption may also cause diarrhea.
👉In sigmoid diversion, Cl is absorbed in exchange for HCO3.
Reposted by Acidosis Tubular Renal
3) Hyperkalemia of any cause including ⬇️ volume and meds. Technically, this is an acquired hyperkalemic RTA, but it does not 🟰 hypoaldosteronism.
👉HyperK impairs ammoniagenesis in the PT
👉K competes with NH4 for reabsorption in the TAL via NKCC2 ⬇️ medullary NH3 gradient for NH4 excretion.
👉HyperK impairs ammoniagenesis in the PT
👉K competes with NH4 for reabsorption in the TAL via NKCC2 ⬇️ medullary NH3 gradient for NH4 excretion.
Mechanism of Hyperkalemia-Induced Metabolic Acidosis
Background Hyperkalemia in association with metabolic acidosis that are out of proportion to changes in glomerular filtration rate defines type 4 renal tubular acidosis (RTA), the most common RTA obse...
pmc.ncbi.nlm.nih.gov
December 16, 2024 at 6:17 PM
3) Hyperkalemia of any cause including ⬇️ volume and meds. Technically, this is an acquired hyperkalemic RTA, but it does not 🟰 hypoaldosteronism.
👉HyperK impairs ammoniagenesis in the PT
👉K competes with NH4 for reabsorption in the TAL via NKCC2 ⬇️ medullary NH3 gradient for NH4 excretion.
👉HyperK impairs ammoniagenesis in the PT
👉K competes with NH4 for reabsorption in the TAL via NKCC2 ⬇️ medullary NH3 gradient for NH4 excretion.
Reposted by Acidosis Tubular Renal
1) Compensation for a respiratory alkalosis. Patients with cirrhosis may have a chronic respiratory alkalosis. In this abstract from @juancarlosqvelez.bsky.social and others at ASN Kidney week, 60% of people with cirrhosis and a metabolic acidosis had a primary respiratory alkalosis (pH > 7.35).
American Society of Nephrology | Kidney Week - Abstract Details (2024)
Abstract details for Kidney Week 2024.
www.asn-online.org
December 16, 2024 at 6:17 PM
1) Compensation for a respiratory alkalosis. Patients with cirrhosis may have a chronic respiratory alkalosis. In this abstract from @juancarlosqvelez.bsky.social and others at ASN Kidney week, 60% of people with cirrhosis and a metabolic acidosis had a primary respiratory alkalosis (pH > 7.35).
Common causes of early post-tx anemia:
Blood loss
Iron deficiency
EPO deficiency
Medications
Infection/inflammation
Rejection
Hemolysis
Nutritional deficiencies
Parvovirus B19 – Rare but notable
#ECNeph
December 6, 2024 at 4:21 PM
Common causes of early post-tx anemia:
Blood loss
Iron deficiency
EPO deficiency
Medications
Infection/inflammation
Rejection
Hemolysis
Nutritional deficiencies
Parvovirus B19 – Rare but notable
#ECNeph