Hepatic Encephalopathy with healthy liver?

🤔Pt with cognitive impairment, - neuro workup. Discharged with diagnosis of dementia, focal seizures.

👍CT lge intrahepatic portovenous shunt; Ammonia 🔼

😀Improved with PSE Rx, ultimately treated in IR

Sort of a congenital TIPS

#IMsky #GIsky #Medsky

Excellent study with positive results, let's hope another study confirms this.

Fish-Oil Supplementation and Cardiovascular Events in Patients Receiving Hemodialysis | New England Journal of Medicine

meet me at #ESOTcongress in London 🇬🇧

🗓️ July 1, 13:00-14:00, ROOM s5

to discuss Torque Teno virus 🦠 based immunologic monotoring

viruses 🦠 can be superheroes 🦸

#ESOT2025 #TTVguide #ESOT

An interesting pilot study: a regular dose of loop diuretic enhances hemodialysis clearance of protein-bound uremic toxins in anuric patients. academic.oup.com/ckj/advance-...

In CKD, furosemide use—especially >100 mg/day—is linked to higher serum levels of protein-bound uraemic toxins like IS, PCS, Kyn, and IAA. Furosemide may impair toxin clearance via OAT1/3 transporters, contributing to toxin accumulation.
#podoctyetalk #CKD #Nephsky
www.kireports.org/article/S246...

We pooled all the (suboptimal data) together in this meta-analysis pubmed.ncbi.nlm.nih.gov/32155642/

Hardly any effect on residual function

Transmission of tuberculosis via #kidneyallograft

Renal allograft-transmitted #tuberculosis is a rare and potentially fatal infection in the early post-transplant period.

doi.org/10.1016/j.kint.2024.08.011

#KINephrologyImage #kidneytransplantation #MedSky #NephSky

A retrospective study from Taiwan: ESA vs w/o ESA in CKD and ESKD patients:
HR for incident malignancy 1.84 with ESA; for genitourinary malignancy 12.55.
The risk was positively correlated with the cumulative dose of ESA.

doi: 10.1111/cts.13353

Check out this special collection that highlights the clinical connection between disorders of the kidneys and the heart:

https://bit.ly/3AVbArF

#Cardiorenal