Rituximab 💉and HBV🦠 Prophylaxis
Active HBV --> Avoid ritux ❎
HBV carrier state --> prophylaxis for 18 months ✅
Prior HBV infection --> Moniter every 3 months 🧐
.
source - AJKD core curriculum
www.ajkd.org/article/S027...

#Nephsky
#Medsky

interesting mechanism of action of HCQ in Sjogren's syndrome
- source - uptodate
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#Medsky

2013 paper Emphasizing no role for urine for eosinophils in diagnosing acute interstitial nephritis 🔬

PPV - only 15% 😔
Sensitivity - only 30% 😑

journals.lww.com/cjasn/fullte...

#nephsky
#medsky

Cant be more beautiful than this ❤️
#nephsky
#Medsky

www.ajkd.org/article/S027...

Interesting that sick day protocol with tolvaptan in ADPKD includes not only conditions causing volume depletion but also situations with limited water access like long travel in car, air travel etc 😯

@kdigo.org ADPKD guidelines
#nephsky
#Medsky

DNB released prospectus for nephrology exam

But I'm not understanding this condition 😐🤷🏻

#nephsky
#Medsky

Kidneys are way smarter than we think ❤️

From Guyton physiology

ureter renal reflex !

When ureter is blocked (eg stone) afferent from ureter goes to afferent arteriole to reduce urine formation in the blocked system !
#Nephsky
#medsky

Syndrome of apparent mineralocorticoid excess

increased urine THF - tetrahydrocortisol and THE - tetrahydrocortisone

But there is no F in cortisol - why it is called THF

#Nephsky
#Medsky

Superficially, it might be said that the function of the kidneys is to make urine, but in a more considered view, one can say that the kidneys make the stuff of philosophy itself. ❤️❤️
#fishtophilosopher
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Nephrology - is not for normal doctors but for exceptionally skilled physicians 😎
#nephsky

from
www.thelancet.com/journals/lan....