Sdgirl39
@sdgirl39.bsky.social
A novice Nephrology Nurse Practitioner. Gloms and tubules, what a great rollercoaster idea!
Reposted by Sdgirl39
🧮 Aldosterone renin ratio (ARR): a Double-Edged Sword? 🤔
⚠️ Meds, salt intake, posture, hypokalemia, circadian rhythm, assay variability—all impact results! Too many variables!!! #NephJC
How do you adjust ARR interpretation in clinical practice?
⚠️ Meds, salt intake, posture, hypokalemia, circadian rhythm, assay variability—all impact results! Too many variables!!! #NephJC
How do you adjust ARR interpretation in clinical practice?
Diagnosing Aldosteronism — NephJC
aldosterone; hypertension
www.nephjc.com
February 26, 2025 at 2:13 AM
🧮 Aldosterone renin ratio (ARR): a Double-Edged Sword? 🤔
⚠️ Meds, salt intake, posture, hypokalemia, circadian rhythm, assay variability—all impact results! Too many variables!!! #NephJC
How do you adjust ARR interpretation in clinical practice?
⚠️ Meds, salt intake, posture, hypokalemia, circadian rhythm, assay variability—all impact results! Too many variables!!! #NephJC
How do you adjust ARR interpretation in clinical practice?
Reposted by Sdgirl39
MUST-WATCH: House GOP leadership refused to allow Rep. Brittany Peterson, who's on maternity leave, to vote remotely, but that didn't stop her.
She showed up, not only voted but also spoke out against the GOP budget proposal with Sam, who turned 1 month old today, in her hands.
She showed up, not only voted but also spoke out against the GOP budget proposal with Sam, who turned 1 month old today, in her hands.
February 26, 2025 at 4:30 AM
MUST-WATCH: House GOP leadership refused to allow Rep. Brittany Peterson, who's on maternity leave, to vote remotely, but that didn't stop her.
She showed up, not only voted but also spoke out against the GOP budget proposal with Sam, who turned 1 month old today, in her hands.
She showed up, not only voted but also spoke out against the GOP budget proposal with Sam, who turned 1 month old today, in her hands.
Reposted by Sdgirl39
1/
Why does nephrotic syndrome (NS) present with periorbital edema?
I generally feel comfortable explaining why patients with NS have edema. But, why does it accumulate around the eyes? And, why doesn’t heart failure present this way?
Time for more Starling! And George Burch...
Why does nephrotic syndrome (NS) present with periorbital edema?
I generally feel comfortable explaining why patients with NS have edema. But, why does it accumulate around the eyes? And, why doesn’t heart failure present this way?
Time for more Starling! And George Burch...
November 18, 2024 at 4:55 AM
1/
Why does nephrotic syndrome (NS) present with periorbital edema?
I generally feel comfortable explaining why patients with NS have edema. But, why does it accumulate around the eyes? And, why doesn’t heart failure present this way?
Time for more Starling! And George Burch...
Why does nephrotic syndrome (NS) present with periorbital edema?
I generally feel comfortable explaining why patients with NS have edema. But, why does it accumulate around the eyes? And, why doesn’t heart failure present this way?
Time for more Starling! And George Burch...
Reposted by Sdgirl39
KDOQI US Commentary on the @kdigo.org 2024 Clinical Practice Guideline for the Evaluation and Management of CKD
https://bit.ly/3YW3Fm8 (FREE)
#KDOQI @nishabansal.bsky.social @alexchangmd.bsky.social @nkf-professionals.bsky.social @kidney.org
https://bit.ly/3YW3Fm8 (FREE)
#KDOQI @nishabansal.bsky.social @alexchangmd.bsky.social @nkf-professionals.bsky.social @kidney.org
January 30, 2025 at 11:00 PM
KDOQI US Commentary on the @kdigo.org 2024 Clinical Practice Guideline for the Evaluation and Management of CKD
https://bit.ly/3YW3Fm8 (FREE)
#KDOQI @nishabansal.bsky.social @alexchangmd.bsky.social @nkf-professionals.bsky.social @kidney.org
https://bit.ly/3YW3Fm8 (FREE)
#KDOQI @nishabansal.bsky.social @alexchangmd.bsky.social @nkf-professionals.bsky.social @kidney.org
Reposted by Sdgirl39
This is a big deal, y'all. Federal health websites are being stripped of content or removed in their entirety. Stick with this thread for a look at what's disappeared so far! 1/x
January 31, 2025 at 7:28 PM
This is a big deal, y'all. Federal health websites are being stripped of content or removed in their entirety. Stick with this thread for a look at what's disappeared so far! 1/x
Reposted by Sdgirl39
it’s easy to access paywalled papers via the Mutual Aid Community hosted by the SciHub creators too… free to create an account & quite reliable etc too, 🤓😃
February 1, 2025 at 4:41 AM
it’s easy to access paywalled papers via the Mutual Aid Community hosted by the SciHub creators too… free to create an account & quite reliable etc too, 🤓😃
Reposted by Sdgirl39
The definition of contrast nephropathy is a rise in creatinine 2-5 days after contrast administration. Why the 2 day delay? Is it because contrast is a renal grenade that takes a few days to detonate? No.
January 31, 2025 at 3:38 PM
The definition of contrast nephropathy is a rise in creatinine 2-5 days after contrast administration. Why the 2 day delay? Is it because contrast is a renal grenade that takes a few days to detonate? No.
Reposted by Sdgirl39
What is the correct fluid restriction for a patient with SIADH due to metastatic adenocarcinoma of the lung with the following labs: serum Na 128, urine Na 80, urine K 43, urine osm 660
A. 2000
B. 1500
C. 1000
D. OMG! WTF are you doing! Let them drink!
A. 2000
B. 1500
C. 1000
D. OMG! WTF are you doing! Let them drink!
December 25, 2024 at 10:38 PM
What is the correct fluid restriction for a patient with SIADH due to metastatic adenocarcinoma of the lung with the following labs: serum Na 128, urine Na 80, urine K 43, urine osm 660
A. 2000
B. 1500
C. 1000
D. OMG! WTF are you doing! Let them drink!
A. 2000
B. 1500
C. 1000
D. OMG! WTF are you doing! Let them drink!
Reposted by Sdgirl39
FURST formula for calculating PO fluid restriction for correction of hyponatremia
#Nephpearls #NephSky
U Na + U K/ S Na =123/ 128 =0.961
👉🏼 pubmed.ncbi.nlm.nih.gov/25995119/
#Nephpearls #NephSky
U Na + U K/ S Na =123/ 128 =0.961
👉🏼 pubmed.ncbi.nlm.nih.gov/25995119/
December 25, 2024 at 11:56 PM
FURST formula for calculating PO fluid restriction for correction of hyponatremia
#Nephpearls #NephSky
U Na + U K/ S Na =123/ 128 =0.961
👉🏼 pubmed.ncbi.nlm.nih.gov/25995119/
#Nephpearls #NephSky
U Na + U K/ S Na =123/ 128 =0.961
👉🏼 pubmed.ncbi.nlm.nih.gov/25995119/
Reposted by Sdgirl39
Cannabis (THC) pharmacokinetics in CKD
Higher values (eg orange curve in bottom right >>> blue curve) but high interindividual variations (other graphs with varying scales 🤦🏽♂️)
@kireports.bsky.social
cc @turbodc.bsky.social - what do you think?
www.kireports.org/article/S246...
#NephSky
Higher values (eg orange curve in bottom right >>> blue curve) but high interindividual variations (other graphs with varying scales 🤦🏽♂️)
@kireports.bsky.social
cc @turbodc.bsky.social - what do you think?
www.kireports.org/article/S246...
#NephSky
January 2, 2025 at 2:20 AM
Cannabis (THC) pharmacokinetics in CKD
Higher values (eg orange curve in bottom right >>> blue curve) but high interindividual variations (other graphs with varying scales 🤦🏽♂️)
@kireports.bsky.social
cc @turbodc.bsky.social - what do you think?
www.kireports.org/article/S246...
#NephSky
Higher values (eg orange curve in bottom right >>> blue curve) but high interindividual variations (other graphs with varying scales 🤦🏽♂️)
@kireports.bsky.social
cc @turbodc.bsky.social - what do you think?
www.kireports.org/article/S246...
#NephSky
Reposted by Sdgirl39
New insights into mechanisms underlying cognitive impairment in #chronickidneydisease
doi.org/10.1016/j.kint.2024.09.008
Original article: doi.org/10.1016/j.kint.2024.06.028
#KICommentary #CKD
@sburtey.bsky.social @mickaelbob.bsky.social
doi.org/10.1016/j.kint.2024.09.008
Original article: doi.org/10.1016/j.kint.2024.06.028
#KICommentary #CKD
@sburtey.bsky.social @mickaelbob.bsky.social
December 16, 2024 at 2:59 PM
New insights into mechanisms underlying cognitive impairment in #chronickidneydisease
doi.org/10.1016/j.kint.2024.09.008
Original article: doi.org/10.1016/j.kint.2024.06.028
#KICommentary #CKD
@sburtey.bsky.social @mickaelbob.bsky.social
doi.org/10.1016/j.kint.2024.09.008
Original article: doi.org/10.1016/j.kint.2024.06.028
#KICommentary #CKD
@sburtey.bsky.social @mickaelbob.bsky.social
Reposted by Sdgirl39
Counting down the Top Ten #AJKDBlog posts of 2024:
Interviews Editor @maximalchange.bsky.social talks to @alexchangmd.bsky.social and @littlebiggloms.bsky.social about:
4️⃣ Obesity Primer for Nephrologists: An Interview
https://bit.ly/41M2TuS (FREE)
Interviews Editor @maximalchange.bsky.social talks to @alexchangmd.bsky.social and @littlebiggloms.bsky.social about:
4️⃣ Obesity Primer for Nephrologists: An Interview
https://bit.ly/41M2TuS (FREE)
Obesity Primer for Nephrologists: An Interview
AJKDBlog Interviews Editor Timothy Yau (@Maximal_Change) talked with Alexander Chang (@alexchangmd) and Evan Zeitler (@LittleBigGloms) about their recently published AJKD Perspective, which recomme…
bit.ly
December 28, 2024 at 5:00 PM
Counting down the Top Ten #AJKDBlog posts of 2024:
Interviews Editor @maximalchange.bsky.social talks to @alexchangmd.bsky.social and @littlebiggloms.bsky.social about:
4️⃣ Obesity Primer for Nephrologists: An Interview
https://bit.ly/41M2TuS (FREE)
Interviews Editor @maximalchange.bsky.social talks to @alexchangmd.bsky.social and @littlebiggloms.bsky.social about:
4️⃣ Obesity Primer for Nephrologists: An Interview
https://bit.ly/41M2TuS (FREE)
Reposted by Sdgirl39
Case of non-dilated obstructive uropathy (NDOU). #nephsky #medsky
Woman with a recent dx of metastatic cervical cancer presented with fatigue and noted to be hypotensive with a creatinine of >9 and anuria. Started on fluids, vasopressors and antibiotics without improvement in either parameter
Woman with a recent dx of metastatic cervical cancer presented with fatigue and noted to be hypotensive with a creatinine of >9 and anuria. Started on fluids, vasopressors and antibiotics without improvement in either parameter
December 9, 2024 at 10:53 PM
Reposted by Sdgirl39
When was the last time you were paged about a serum Cl- level? Probably never.
Despite being the most abundant anion in the body, Cl- is under appreciated
🔥Here’s why it matters (esp in heart failure!)
#tweetorial #medtwitter #nephtwitter #cardiotwitter #NSMC
Despite being the most abundant anion in the body, Cl- is under appreciated
🔥Here’s why it matters (esp in heart failure!)
#tweetorial #medtwitter #nephtwitter #cardiotwitter #NSMC
November 17, 2024 at 4:18 AM
When was the last time you were paged about a serum Cl- level? Probably never.
Despite being the most abundant anion in the body, Cl- is under appreciated
🔥Here’s why it matters (esp in heart failure!)
#tweetorial #medtwitter #nephtwitter #cardiotwitter #NSMC
Despite being the most abundant anion in the body, Cl- is under appreciated
🔥Here’s why it matters (esp in heart failure!)
#tweetorial #medtwitter #nephtwitter #cardiotwitter #NSMC
Reposted by Sdgirl39
In the Literature (@NatureMedicine) commentary by Maarten W. Taal and Nicholas M. Selby:
Glucagon-Like Peptide-1 Receptor Agonists: New Evidence of Kidney and Cardiovascular Protection From the FLOW and SELECT Trials
https://bit.ly/4fp6mTh (FREE)
Glucagon-Like Peptide-1 Receptor Agonists: New Evidence of Kidney and Cardiovascular Protection From the FLOW and SELECT Trials
https://bit.ly/4fp6mTh (FREE)
December 30, 2024 at 11:00 PM
In the Literature (@NatureMedicine) commentary by Maarten W. Taal and Nicholas M. Selby:
Glucagon-Like Peptide-1 Receptor Agonists: New Evidence of Kidney and Cardiovascular Protection From the FLOW and SELECT Trials
https://bit.ly/4fp6mTh (FREE)
Glucagon-Like Peptide-1 Receptor Agonists: New Evidence of Kidney and Cardiovascular Protection From the FLOW and SELECT Trials
https://bit.ly/4fp6mTh (FREE)
Reposted by Sdgirl39
Excited to share our core curriculum on volume disorder in @ajkd.bsky.social! Thanks to @sarahsanghavi.bsky.social for writing this with me and @melhoenig.bsky.social for the invitation!
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Disorders of Volume: Core Curriculum 2025
Historically, the paradigm for all maladies was associated with an imbalance of the 4 humors: blood, black bile, yellow bile, and phlegm. Although our…
www.sciencedirect.com
December 26, 2024 at 7:33 PM
Excited to share our core curriculum on volume disorder in @ajkd.bsky.social! Thanks to @sarahsanghavi.bsky.social for writing this with me and @melhoenig.bsky.social for the invitation!
www.sciencedirect.com/science/arti...
www.sciencedirect.com/science/arti...
Reposted by Sdgirl39
Is it ever too late to start RAS inhibitors in CKD?
www.nephjc.com/news/aceing-... from @osduvar.bsky.social
Join us this week to discuss on #NephJC
www.nephjc.com/news/aceing-... from @osduvar.bsky.social
Join us this week to discuss on #NephJC
ACEing the management of advanced CKD — NephJC
This week we come to meta-analyse, strikingly late, the cornerstone of all CKD treatments. Are you still in doubt? We need ACEing CKD to the end of GFR, and beyond
www.nephjc.com
December 17, 2024 at 2:31 AM
Is it ever too late to start RAS inhibitors in CKD?
www.nephjc.com/news/aceing-... from @osduvar.bsky.social
Join us this week to discuss on #NephJC
www.nephjc.com/news/aceing-... from @osduvar.bsky.social
Join us this week to discuss on #NephJC
Reposted by Sdgirl39
Nice review on the cross talk between glomeruli and tubules and the complex interplay between them that underlies progressive kidney injury. From two of my fantastic colleagues Dr. Harris and Dr. Fogo! @vumc-insights.bsky.social www.nature.com/articles/s41...
Crosstalk between glomeruli and tubules - Nature Reviews Nephrology
Glomerular injury and damage to the glomerular filtration barrier can promote the development of tubulointerstitial fibrosis. Here, the authors discuss potential mechanisms underlying this effect, as ...
www.nature.com
December 14, 2024 at 12:03 PM
Nice review on the cross talk between glomeruli and tubules and the complex interplay between them that underlies progressive kidney injury. From two of my fantastic colleagues Dr. Harris and Dr. Fogo! @vumc-insights.bsky.social www.nature.com/articles/s41...
Reposted by Sdgirl39
#Kidney Comics by @momenabbasi.bsky.social:
Pathogenesis of ANCA Glomerulonephritis & Vasculitis
nephsim.com/medicine-com... #FOAMed #MedEd
Pathogenesis of ANCA Glomerulonephritis & Vasculitis
nephsim.com/medicine-com... #FOAMed #MedEd
November 30, 2024 at 4:15 PM
#Kidney Comics by @momenabbasi.bsky.social:
Pathogenesis of ANCA Glomerulonephritis & Vasculitis
nephsim.com/medicine-com... #FOAMed #MedEd
Pathogenesis of ANCA Glomerulonephritis & Vasculitis
nephsim.com/medicine-com... #FOAMed #MedEd
Reposted by Sdgirl39
Glipination associated with lower rates of DVT/PE
BMI independent association - interesting if pans out
From the #ASH24 meeting
www.medpagetoday.com/meetingcover...
BMI independent association - interesting if pans out
From the #ASH24 meeting
www.medpagetoday.com/meetingcover...
GLP-1 Drugs Tied to Reduced Risk of Dangerous Blood Clots
20% lower risk of VTE observed in large retrospective study of diabetes patients
www.medpagetoday.com
December 9, 2024 at 1:16 AM
Glipination associated with lower rates of DVT/PE
BMI independent association - interesting if pans out
From the #ASH24 meeting
www.medpagetoday.com/meetingcover...
BMI independent association - interesting if pans out
From the #ASH24 meeting
www.medpagetoday.com/meetingcover...