Srikanth Bathini
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dakidneydoc.bsky.social
Srikanth Bathini
@dakidneydoc.bsky.social
710 followers 730 following 29 posts
Nephrologist by Profession|Humanist by Nature|Live and Let Live|KIMS Hospitals Hyderabad,India|ISN#SoMe|Visual Abstract Editor-ASN Journals|Mentor-NSMC,Glomcon
Posts Replies Media Videos
Reposted by Srikanth Bathini
theisn.org
𝗜𝗦𝗡 𝗩𝗜𝗗𝗘𝗢 𝗔𝗕𝗦𝗧𝗥𝗔𝗖𝗧 𝗦𝗘𝗥𝗜𝗘𝗦: APOL1 genotype and HIV infection: 20 year outcomes for CKD, CVD and hypertension. 2025 from @kireports.bsky.social‬ www.kireports.org/ar...

#VideoAbstract by
‪@drsumanbehera.bsky.social‬ & @dakidneydoc.bsky.social‬
June 30, 2025 at 6:00 AM
Reposted by Srikanth Bathini
myadla.bsky.social
Friends ! Check this survey on Pregnancy AKI
Available in 20 languages
Do share in your groups qualtrics.kcl.ac.uk/jfe/form/SV_...

@dramiliflores.bsky.social @hswapnil.medsky.social @divyaveerssneph.bsky.social @kajareeg.bsky.social @dakidneydoc.bsky.social
May 5, 2025 at 3:38 PM
Reposted by Srikanth Bathini
drsumanbehera.bsky.social
Hypoelectrolytemia. Low K, Mg Ca, Na and P.

Did you have to use more than the conservative measures for management?
April 25, 2025 at 5:28 PM
Reposted by Srikanth Bathini
drsumanbehera.bsky.social
Sounds like pseudoobstruction... seen in patients with Ogilvie syndrome. Can also cause severe electrolyte dysfunction. But quite rare.. mostly diagnosed by GI before the nephrologists get to see them
April 25, 2025 at 5:13 PM
dakidneydoc.bsky.social
A big thanks to @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
Thanks to the wonderful #NephSky community for tuning in!

#ECNeph
April 25, 2025 at 4:55 PM
dakidneydoc.bsky.social
A glimpse at the causes of an Acquired Bartter Defect too! #ECNeph

@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social

April 25, 2025 at 4:52 PM
dakidneydoc.bsky.social
How do we manage Ogilvie’s syndrome?

@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social

#ECNeph
April 25, 2025 at 4:50 PM
dakidneydoc.bsky.social
❓ What is this Acute Pseudo colonic Obstruction (Ogilvie’s syndrome)?

👉 Several theories have been proposed

@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
#ECNeph
April 25, 2025 at 4:48 PM
dakidneydoc.bsky.social
👉 In vitro studies suggest that colonic Maxi – K channels are upregulated

👉 These are the same channels upregulated in CKD, enhancing gut excretion of potassium

👉 In ESRD, the colonic excretion of Potassium is 3-fold that of normal individuals
#ECNeph
@myadla.bsky.social @dramiliflores.bsky.social
April 25, 2025 at 4:46 PM
dakidneydoc.bsky.social
Here are some of the case reports describing hypokalemia in Ogilvie’s syndrome

@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
#ECNeph
April 25, 2025 at 4:44 PM
dakidneydoc.bsky.social
Can there be any other cause for hypokalemia in this case?
There are several case reports of Ogilvie’s syndrome being associated with severe hypokalemia
@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
#ECNeph
April 25, 2025 at 4:42 PM
dakidneydoc.bsky.social
Here’s an infographic describing the various mechanisms of hypokalemia

Highlighted in brown = Present in this case

Shout out to @dana_m_larsen , my Nephrologist colleague from UCSF for the amazing infographic
#ECNeph

@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social
April 25, 2025 at 4:40 PM
dakidneydoc.bsky.social
What do you do when there is a fluctuating acid base disorder in hypokalemia?

Keep Calm …

#ECNeph
@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
April 25, 2025 at 4:38 PM
Reposted by Srikanth Bathini
dramiliflores.bsky.social
🧠 worth considering — especially if we have renal potassium-wasting, in the set of GI loss #ECNeph
April 25, 2025 at 4:35 PM
dakidneydoc.bsky.social
Here’s a review of the initial clinical course:

Note that there was a fluctuating acid base balance -> look at the case summary
#ECNeph
@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social

April 25, 2025 at 4:37 PM
dakidneydoc.bsky.social
The story doesn’t end here!
@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
#ECNeph
April 25, 2025 at 4:36 PM
dakidneydoc.bsky.social
The patient was treated with 50 mg of Spironolactone and Oral Potassium of 70 mmol per day and maintained normokalemia and normal bowel movements.
@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
April 25, 2025 at 4:34 PM
dakidneydoc.bsky.social
Now that we know that there is a chloride, Potassium and Calcium loss disorder….

@myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
April 25, 2025 at 4:32 PM
Reposted by Srikanth Bathini
theisn.org
28/n what next #ECNeph? Peel another banana?
@dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
April 25, 2025 at 4:31 PM
Reposted by Srikanth Bathini
theisn.org
34/ 🧪 What nephron segment could be acting out?
#ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
April 25, 2025 at 4:29 PM
Reposted by Srikanth Bathini
theisn.org
36/n
What’s your working diagnosis now? Time to zoom in!
#ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
April 25, 2025 at 4:30 PM
Reposted by Srikanth Bathini
theisn.org
33/n 📊 So… if it’s not the aldosterone, who’s stealing the K+?
#ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
April 25, 2025 at 4:28 PM
Reposted by Srikanth Bathini
theisn.org
22/n 🧐 How would YOU approach this case?
What’s the unifying diagnosis?
What test or clue are we still missing? #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
April 25, 2025 at 4:26 PM
Reposted by Srikanth Bathini
theisn.org
32/n 🕵️ What’s behind the potassium leak? need more lab rouns?
#ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
April 25, 2025 at 4:27 PM
Reposted by Srikanth Bathini
theisn.org
26/n 🧪 88 mmol/day of urinary K+… Are the kidneys holding back? Clues are leaking!
#ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
April 25, 2025 at 4:25 PM