Senthil Kumar
drsenthil.bsky.social
Senthil Kumar
@drsenthil.bsky.social
MBBS, DNB (Gen.Med.), MRCP (UK), DrNB (Neph.).

Consultant nephrologist, Sree Abirami hospital, Coimbatore, India.

Passion for internal medicine and love for nephrology. Always believe in "Live and let live"
Reposted by Senthil Kumar
🔥Hot Debate—"The "KDIGO BP Targets in CKD Are (Un)Achievable and (Un)Realistic with
@hswapnil.medsky.social pro unbiased take #ISNWCN

His job was to convince a full room of unbelievers in low BPs #NephSky
February 8, 2025 at 9:24 PM
Reposted by Senthil Kumar
10/ We shouldn't be afraid of creatinine #ISNWCN #MedSky

@scoca1.bsky.social made it very easy to understand: maybe attach this to every consult?

@glaucomflecken.bsky.social
February 8, 2025 at 9:24 PM
Reposted by Senthil Kumar
2/ It was so close... but there was a winner. Curious to see who won? #ISNWCN
February 8, 2025 at 10:13 PM
Happy to receive a prize on IgA quiz by Kidney Kolumns from @isn-india.bsky.social at WCN 2025.
Thank you 🙏Dr. Mayuri Trivedi, Dr. Shyam Bansal and Dr. Vineet Behera.
#ISNWCN
February 8, 2025 at 4:02 PM
Doctors shouldn't measure BP 😅

We suck at it. 🤐

There are quite significant pre-requisites for it.

All trials did automated BP recording.
@hswapnil.medsky.social
#ISNWCN
February 8, 2025 at 11:08 AM
February 8, 2025 at 7:56 AM
Reposted by Senthil Kumar
Screening criteria per Endocrine society for PA

Contrast with actual screening rates - summarized here pubmed.ncbi.nlm.nih.gov/36965825/ from @ajkd.bsky.social

#ISNWCN #NephSky
February 8, 2025 at 5:39 AM
@argaiz.bsky.social killing with his teaching skills. It was an amazing session on POCUS and VExUS 👏🔥. Thank you 🙏
#ISNWCN
February 7, 2025 at 12:46 PM
Reposted by Senthil Kumar
This is the algorithm he prefers from a 2020 for biopsy and management www.kidney-international.org/article/S008...
2020 @kidneyint.bsky.social - looks #OpenAccess

#ISNWCN #NephSky #Onconeph

Watch this space for biomarkers I say 😎
February 7, 2025 at 5:00 AM
Eisei Sohara talking about importance of genetic testing in CKD.

➡️10-15% of so called ADPKD do not have family history yet have PKD1/2 mutation.

➡️ Other genes involved in PKD (IFT40, CFAP47).

➡️10% of dialysis patients with unknown cause actually have genetic cause.
#ISNWCN
February 7, 2025 at 5:25 AM
Reposted by Senthil Kumar
The Aldosterone Paradox: A Skeetutorial:
a man stands in front of a blackboard with the words it 's paradoxical and yet it works
ALT: a man stands in front of a blackboard with the words it 's paradoxical and yet it works
media.tenor.com
December 31, 2024 at 3:51 AM
Reposted by Senthil Kumar
And we need to play by local rules and those rules say, we need to repost rather than just like. It was okay to be a lurker on #MedTweeter, but here we have to embrace our inner extrovert.

Repost rather than like to help build #MedSky
January 30, 2025 at 2:23 AM
Reposted by Senthil Kumar
The excellent overview of IgA management and the upcoming @kdigo.org guidelines from Prof IgA himself, Dr Barratt

youtu.be/OChs5BcTEGE?...

#NephGR #NephSky
Updates to the KDIGO Guidelines for the treatment of IgA nephropathy, with Prof Jonathan Barratt
YouTube video by Ottawa Nephrology
youtu.be
January 24, 2025 at 11:54 AM
Reposted by Senthil Kumar
1️⃣ We are pleased to announce the publication of the KDIGO 2025 ADPKD Guideline!

This first-ever KDIGO guideline focused on a rare kidney disease provides practical tools to improve diagnosis, care, and treatment.

Read the news release: kdigo.co/2025-ADPKD-G...

#ADPKD
January 21, 2025 at 3:23 PM
@askrenal.bsky.social #askrenal
One of our DrNB final theory questions.

Role of nephrologists to promote Donation after Brain Death (DBD) programme in the country.😕

All I could write was SoMe campaign, talks, posters etc.

What would #NephSky and #MedSky add to it?
January 21, 2025 at 10:58 AM
Alisporivir, an original antiviral (HepC) drug had shown to increase in mutant trimers in Alport's syndrome acc. to this paper.

It's also a cyclosporin derivative binding to cyclophilin and not to calcineurin.

This was a final DrNB theory question 😑

journals.lww.com/kidney360/fu...
January 21, 2025 at 3:46 AM
Reposted by Senthil Kumar
Good noon all,

IJN: Year: 2025, Volume: 35, Issue: 1, January-February Issue of Indian Journal of Nephrology is live.

Kindly follow the link: indianjnephrol.org/current-issue/

@arvindcanchi.bsky.social @priti899.bsky.social
2024 – A Year in Review - Indian Journal of Nephrology
[article]
indianjnephrol.org
January 4, 2025 at 11:37 AM
#askrenal
Why has @goKDIGO not released any transplant recipient guidelines since 2009?

As per that, HCV needs to be treated with IFN, only if benefits outweigh risks! 🤷‍♂️

Of course, '2018 tx candidate' and '2022 HepC' guidelines mention DAA for treatment in transplant pts.
December 30, 2024 at 1:59 PM
One request for the journals.

Can we have the article downloaded in PDF format with title mentioning the title of the article or the first author name and not some PIIS123?
December 12, 2024 at 3:55 PM
I guess the hype for Google's Willow is real.

What do you think Willow and it's quantum computing can change in the medical field?
December 10, 2024 at 4:29 PM
Reposted by Senthil Kumar
1/17
[Why] is furosemide susceptible to malabsorption from "gut edema"?

When a patient with heart failure is hospitalized with congestion I often hear "let's use IV furosemide; they're probably not absorbing the PO."

It's a comment unique to furosemide.

But is it accurate?
November 17, 2024 at 3:18 AM
👉20 - 30% Na reabsorption in TALH.

50% of that occurs paracellularly😮

➖️NKCC2 probably inhibits paracellular reabsorption as well (Mg and Ca loss).

❓️But why didn't ROMK,the main channel responsible for paracellular reabsorption,inhibitors pick up?

Still wondering if we can increase the arsenal.
December 8, 2024 at 11:31 AM
Reposted by Senthil Kumar
Reposted by Senthil Kumar
A warm welcome to every one again in this #ECNeph session 🙏🙏🙏
Greetings from Chandigarh, one of the most planned cities of India !
Lets start with the discovery of Parvovirus B19!
Latin word ‘parvus’ or ‘parvum’ means small or tiny

@myadla.bsky.social @theisn.org #ECNeph
#Nephtwitter #Nephsky
December 6, 2024 at 4:37 PM
Reposted by Senthil Kumar
12/12 in conclusion, be bold, NE + Lasix works and does not throw pts back into HRS. Push the MAP up, diurese away.
a large body of water is coming down a dam wall
ALT: a large body of water is coming down a dam wall
media.tenor.com
December 5, 2024 at 2:22 AM