Neph tweetorials
General
18c) The answer is D. All of the above
— KIReports (@KIReports) March 18, 2024
This study shows some evidence for reducing perinatal insults to reduce cessation of nephrogenesis.
1. You are a young medicine/nephrology resident in OPD and a patient comes with c/o reddish discolouration of urine
— Jasmine Sethi (@JasmineNephro) May 15, 2023
Here’s what you need to know
@MedTwitter @NephTwitter @NephPearls
📍A easy stepwise approach to hematuria
Hope this 🧵 is useful pic.twitter.com/dXVKEumG2l
🔥Hello #NephTwitter
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) October 1, 2022
💥Every other patient in our OPD comes with fever
⚠️But Beware‼️Every fever is not infective in origin
⚡️After ruling out most infective causes👉Look for non-sepsis causes too
Unroll…#NephroNotes #NephPearls #FOAMed #MedTwitter #MedEd
🌸SLE: Pulmonary Manifestations
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) January 17, 2021
1️⃣Pleuritis
👉Most common
👉Pleuritic pain in 45-60%
👉Invariably Exudative
👉LE cells in pleural fluid diagnostic
👉Pleural fluid- Higher glucose & Lower LDH c/f RhA
Unroll…#NephroNotes #FOAMed #MedTwitter #MedEd
♨️Pharma bias for Dihydropyridine CCB❗️
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) July 6, 2023
💥Indian pharma promoting 💊DHP CCB for ⬇️ proteinuria in DKD
💥New DHP CCBs to Indian #medicine #NephTwitter #MedTwitter
💊Benidipine
💊Azelnidipine
💊Efonidipine
And… Most favorite decade old👇
Cilnidipine
Unroll..#FOAMed #MedEd
⁉️Lupus Pernio is found in which pathological condition❓
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) August 20, 2020
👉Representative Figure is shown in thread (Unroll)#NephroNotes #Nephpearls #FOAMed #MedTwitter #MedEd @RenalFellowNtwk @NephrologyN
♨️⚡️Dietl's Crisis⚡️
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) April 6, 2020
📍Josef Diet, 1864, Poland
🔹Episodic crampy upper Abdo pain
+ Nausea + Vomiting
🔸Intermittent renal pelvic obstruction
▫️mostly children
Unroll.. pic.twitter.com/KoIom6ASKL
🔥What are causes of Foamy urine in absence of Proteinuria⁉️#Tweetorial
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) January 23, 2021
💡Any surfactant in urine can cause frothuria‼️
👉Surfactant has amphiphilic properties which helps trap pocket of gas in liquid and produce foam
Ref-CJASN#NephroNotes #FOAMed #MedTwitter #MedEd pic.twitter.com/pz1TV95PAh
🫘Approach to Proteinuria
— Jasmine Sethi (@JasmineNephro) July 24, 2024
Source Harrison pic.twitter.com/M5cN6bWrvQ
🫘✅Resistant and Secondary Hypertension pic.twitter.com/7McYXx9z6F
— Jasmine Sethi (@JasmineNephro) July 23, 2024
🫘Sterile Pyuria #Nephpearls pic.twitter.com/6zrzwLzfCh
— Jasmine Sethi (@JasmineNephro) July 18, 2024
🥹What causes Anuria pic.twitter.com/Lf0uWGu9Js
— Jasmine Sethi (@JasmineNephro) July 17, 2024
AKI
🔥Let’s see how to differentiate between AKI and CKD in clinic
— Jasmine Sethi (@JasmineNephro) August 6, 2023
✅Useful 🧵#MedTwitter #NephTwitter
1. Duration-
✅AKI-⬆️in sCr of 0.3 mg/dL within 48 hrs or by a 50% ⬆️in sCr from baseline in 7 days, or a urine volume<0.5 mL/kg/h for 6 hr
✅CKD-Kidney damage>3 mth
👇 pic.twitter.com/JmeEY95fIb
1) Welcome to a 🆕 #accredited #tweetorial on #Albuminuria: The Canary in the Coal Mine of #Kidney and #Cardiorenal #Disease. Our returning expert author is the wonderful teacher Edgar V. Lerma 🇵🇭 @edgarvlermamd#Cardiorenal #Nephpearls #nephtwitter #FOAMed #CardioTwitter pic.twitter.com/qNKW3OBPym
— @CKD_ce (@ckd_ce) April 3, 2024
👩🦰💆♀️Hair straightening/ Brazilian keratin treatments in salon 💇♀️
— Jasmine Sethi (@JasmineNephro) August 10, 2023
👆Is it safe to get the above treatments
🙂Follow this not so medical thread for answer 🧵
💆♀️ pic.twitter.com/2NzUhMPX11
🫘🔽Drug induced Acute Interstitial Nephritis https://t.co/ZsfWorBxjH@AJKDonline pic.twitter.com/wY2X5ewTLH
— Jasmine Sethi (@JasmineNephro) July 26, 2024
🫘✅AKI in Cirrhosishttps://t.co/GBC9D70Uf1@AJKDonline pic.twitter.com/UI9ZEafeQh
— Jasmine Sethi (@JasmineNephro) July 19, 2024
Transplant
2/🏆The correct answer is 40 %
— KIReports (@KIReports) July 2, 2024
🔗 https://t.co/dQAzhHDoHg
What are the factors associated with post transplantation anaemia (PTA)?
These include:
• 📉Iron deficiency,
• 🫘Worsening renal functions,
• 💉Immunosuppressive drugs
• 💊 RAAS blockers
• 😷Infections
• 🪫Low EPO
⚡️Tweetorial Alert ⚡️
— KIReports (@KIReports) June 22, 2024
1/
Hey #NephTwitter!
Welcome to a 🆕#accredited #tweetorial brought to you by @KIReports.
🚨 #Tweetorial #NephTwitter!!
— KIReports (@KIReports) May 28, 2024
De novo donor specific antibodies (dnDSA) are a major factor for antibody-mediated rejection (AMR) & graft loss. Some risk factors for dnDSA include:
a)⬇️Immunosuppressive dose due to side effects or non-adherence
b)🩸Blood transfusions
c) Pregnancy
🌸BKV- Most confusing virus for a Tx Nephrologist
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) October 20, 2020
🔥1971: 1st isolated from Urine of RTR with Ureteric Stenosis‼️
🔥15% RTR in 1st yr post-transplant
🔥Circular dsDNA virus: encode
🔺️Capsid protein: VP1/2/3
🔺️t Ag
🔺️T Ag (SV40‼️)#NephroNotes #Nephpearls #FOAMed #MedEd
👤Story behind "Decoy cells"
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) May 22, 2020
🌸Mostly contain BK polyomavirus (less commonly JC virus)
👉Rarely, Adenovirus
👉IHC & EM help identify virus
⚡Decoy- like cell can be seen in tubular injury/regeneration
Unroll
Ref-Madame Curie Bioscience Database#Nephpearls #FOAMed #MedTwitter pic.twitter.com/JivcRvDpda
📛Post-Transplantation Polyuria: Causes (1/2)
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) May 2, 2020
⚡I. Aquaresis
👉Urine osmolality <50-100mOsm/Kg
🔺️Excess free water intake
🔺️Hypotonic fluid infusion
🔺️Transient nDI
🔺️Unmasked cDI with functioning Tx (rare)#NephroNotes #Nephpearls #FOAMed
1) 🚨Tweetorial Alert 🚨
— KIReports (@KIReports) January 3, 2024
Hey #NephTwitter and @ckd_ce!
Welcome to a 🆕#accredited #tweetorial brought to you by the collaboration of @ckd_ce & @KIReports.
🔥Basic drug dosing of Induction agents and Maintenance immunosuppressive therapy in renal transplantation
— Jithu Kurian🇮🇳 (@Jithukurian6) July 11, 2023
🔥 I always had difficulty in remembering the numbers in first year of residency #Nephpearls #Nephronotes #nephrology pic.twitter.com/wcm9sraklW
📢📢 𝐍𝐄𝐖 𝐓𝐇𝐑𝐄𝐀𝐃 🧵
— 𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM (@nihardesai7) August 16, 2023
This is for everyone who uses 𝙘𝙮𝙘𝙡𝙤𝙨𝙥𝙤𝙧𝙞𝙣𝙚, so I'm guessing a lot of people would read this short thread !
It's every transplanter's friend; kidney/🫀/ liver/ BMT 💪
Follow along to learn more 👇
1/20#MedTwitter pic.twitter.com/7j8E6W3ceY
Myeloma drugs — Dosing and schedule
— Vincent Rajkumar (@VincentRK) July 21, 2023
What I do in practice #MedTwitter
1. Dex: 40 mg once a week age <70; 20 mg if age >70 or frail
Stop Dex at around one year if good response.
Days 1-4, 8, 15, 22 schedule for 1st cycle only in cast nephropathy; or VDT-PACE type regimen
💥CMV: Once infected, always infected‼️
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) July 29, 2023
♨️sharing CMV #CheatSheet
🔆1956- 1st isolated (salivary gland)
🔆1965- 1st isolated KTR
⚜️Weller-Term "CMV"
⚜️Principle reservoir- CD13+ WBC
⚜️Immediate Early Ag- Most immunomodulatory
Unroll..#Nephpearls #FOAMed #MedEd #MedTwitter
💢Prophylactic Septran in renal #Transplant recipients:
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) April 8, 2020
⚡️⬇️UTI risk 3-fold
⚡️Also ⬇️ incidence of:
📍P jiroveci
📍L monocytogenes
📍N asteroides
📍T gondii
⚡️KDIGO: UTI prophylaxis x 6 m
👉mTORi: PCP prophylaxis x 1 yr
Unroll..
@RenalFellowNt @NephJC
CKD
Hello everyone! Today we will discuss CKD of Uncertain Etiology (CKDu) and the biomarkers that we have for its evaluation. #NephTwitter 🫘 Let's start with a little poll:
— Francisco Santamaría, MD (@SantamariaFcoMD) July 6, 2024
Have you had patients with CKDu?
10/ What are the next frequently diagnosed kidney biopsy findings in IBD?
— KIReports (@KIReports) June 16, 2024
🔬AIN and CIN
📍Treatment with 5-ASA in IBD are frequently associated with AIN (51%) and CIN (71%)
12/When looking at the 10 year post KRT data, the Li group had a higher survival rate compared to the control group pic.twitter.com/zefJA9DlIK
— KIReports (@KIReports) June 12, 2024
📢 #Tweetorial alert!
— KIReports (@KIReports) May 18, 2024
Dr Priti Meena, Nephrologist, AIIMS-Bhubaneswar, is here to share insights on the fascinating roles of SGLT2I and Anti-EPO receptor Ab in managing anaemia in diabetic kidney disease (DKD)
Let's dive in! 🧵⬇️#DKD #Medtweetorial#NephEducation pic.twitter.com/GP5Wf4lPwj
7/n
— Montxu Larrazabal, M.D. (@MontxuLarr) March 30, 2024
Diving further, MA and CV outcomes. Turns out, 34% of patients are riding the acidosis wave, and we don’t want this
Keeping serum bicarbonate levels above 22 mmol/l could be beneficial for ❤️ health. Higher serum bicarbonate levels showed ⬇️MACE risk
Va by @DrPSVali pic.twitter.com/5TKs7BIP2X
🔆Constipation in CKD
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) October 27, 2020
🔥Under-recognized (perceived benign‼️)
🔥CKD👉Gut help Uremic toxin disposal & acid-base/mineral homeostasis
🔥Altered gut microbiota👉Independently a/w adverse outcomes (ESKD, CV)‼️
🔥Newer drugs✔
Ref:KI Reports#NephroNotes #Nephpearls #FOAMed #MedEd pic.twitter.com/Lvc5i1BYXH
🔥Uremic Cardiomyopathy: Kidney-Heart Crosstalk
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) October 30, 2020
♨️Diastolic Dysfunc+ LVH + Ventricular Fibrosis
♨️Fluid overload +Anemia +MBD +Insulin resistance +Uremic toxins +Endogenous cardiotonic steroid
♨️Central mech: Oxi Stress
Ref-NatureReviews#NephroNotes #Nephpearls #FOAMed #MedEd pic.twitter.com/77NG1gbWNy
Heard of ⚡Uremic stomatitis❓
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) April 18, 2020
👉Under-reported (very few of us examine oral cavity?)
👉Chemical burning
💠Hydrolysis of salivary urea➡️Ammonia compounds (Bac urease)
🚩4️⃣ forms (Laskaris)
1.Ulcerative
2.Hemorrhagic
3.Nonulcerative pseudomembranous
4.Hyperkeratotic#NephroNotes pic.twitter.com/4Mt2R9L0Xr
📛Uremic Frost❄
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) April 16, 2020
⚡White, friable crystalline urea deposit on skin
⚡1st 📜: Hirchsprung, 1865
⚡Mean BUN- 200 mg/dl‼
⚡"Uridrosis” (Urinous sweat)
⚡UTA1 urea transporters
⚡Excess urea leak via- Facilitated diffusion
Pic- IDOJ#NephroNotes #Nephpearls@RenalFellowNtwk @NephJC pic.twitter.com/lizFQg37Pq
🔥Uremic Hiccups
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) April 9, 2020
👉Could be intractable in CKD
⚡Nephrologist's nightmare‼
👉Vagal/ Phrenic N stimulation
❓Which of the following is not a usual cause of persistent hiccups in CKD🚫@RenalFellowNtwk @askrenal @NephJC
📛Asterixis in Uremic Encephalopathy
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) April 11, 2020
⭐Term 1st introduced by Adam's & Foley (Hepatic Flaps), 1949
👉Previously "Jacitations"
♦️Greek word, a(not) + sterixis(fixed pisition)
♦️"Bird flapping wings"#NephPearls #NephroNotes@askrenal @Renaltubules @shubharthikar
Unroll..
1. 💢Idiopathic Edema of Women
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) September 15, 2019
‼️Old but forgotten entity
⁉️Removed from most current Nephrology textbooks
⚡️Diagnostic criteria: Diurnal Wt gain in excess of 1.4 kg in absence of secondary causes
⚡️Symptoms: Bloating, Facial puffiness, swelling of breast abdomen and ankles
🌿 Hyperphosphatemia in CKD
— Kajaree Giri (@KajareeG) March 5, 2024
⬆️ FGF23 – 1st biochemical abnormality in CKD-MBD
⬇️ Active 1,25 dihydroxy vitamin D
⬆️ PTH
▶️Impaired bone remodeling
⤴️ vascular and cardiac morbidity
🌟NF KDOQI recommends Ca*P <55
Let's revise the concept at https://t.co/Cx0YCXTTt9#NephMadness pic.twitter.com/M8z2StdrZJ
1a) ATTENTION #Medtwitter #Nephtwitter
— KIReports (@KIReports) October 17, 2023
🚨 Tweetorial alert 🚨
Today we will be discussing #nirogacestat-associated #hypophosphatemia.
Our guest faculty is Subashri Mohanasundaram @happiedoc, #nephrologist 🇮🇳, Nephrology. Asst Prof, GTKMCH, Tuticorin, marked as Tuttukkudi below. pic.twitter.com/8C85hJorBN
🔥 Let’s discuss about Chronic Kidney Disease – Mineral Bone disease (CKD- MBD)
— Jithu Kurian🇮🇳 (@Jithukurian6) August 19, 2023
🔥 This is what I thought it was as a student… I was wrong ❌
🔥Did you also think so ? #NephTwitter #MedTwitter #Medpearls pic.twitter.com/2nBXROx2zi
🧵🧵ADPKD thread
— Jasmine Sethi (@JasmineNephro) May 26, 2024
at @ERAkidney by Dr Torres #ERA24
1. How do you classify ADPKD –@goKDIGO recommends MAYO classification
🫡Does not apply for atypical ADPKD
⤵️How to identify rapid progressors pic.twitter.com/uYlOzqoFqS
1) Welcome to our #accredited #tweetorial on clinical trial results and emerging data for treatment of Diabetes and CKD #DM in #CKD. I am Brian Rifkin MD, @brian_rifkin, from the Hattiesburg Clinic. #Nephtwitter #Medtwitter #FOAMed pic.twitter.com/xtUzpX7Uld
— cardio-met (@cardiomet_CE) February 14, 2023
1) Welcome to our #accredited #tweetorial on clinical trial results and emerging data for treatment of Diabetes and CKD #DM in #CKD. I am Brian Rifkin MD, @brian_rifkin, from the Hattiesburg Clinic. #Nephtwitter #Medtwitter #FOAMed pic.twitter.com/LQ5M2Qmg94
— @CKD_ce (@ckd_ce) January 3, 2023
1) Welcome to our #accredited #tweetorial on clinical trial results and emerging data for treatment of Diabetes and CKD #DM in #CKD. I am Brian Rifkin MD, @brian_rifkin, from the Hattiesburg Clinic. #Nephtwitter #Medtwitter #FOAMed pic.twitter.com/LQ5M2Qmg94
— @CKD_ce (@ckd_ce) January 3, 2023
1) Welcome to a 🆕 #accredited #tweetorial #Xtorial brought to you with 🆓CE/#CME from the collaboration between @ISNEducation & @ckd_ce. Follow this 🧵 for highest-quality #MedEd and 0.5hr credit.
— @CKD_ce (@ckd_ce) July 9, 2024
1) Welcome to a🆕#accredited #tweetorial from one of our favorite & most productive faculty, esteemed #nephrologist @edgarvlermamd 🇵🇭. This program follows his recent piece on the importance of #albuminuria in predicting & following advancing #CKD, at https://t.co/Qw7f6O2s4R pic.twitter.com/SqIsCOQ5Jv
— @CKD_ce (@ckd_ce) May 7, 2024
➡️ Anti tubercular therapy dose modification in CKD pic.twitter.com/lykwH9indS
— Jasmine Sethi (@JasmineNephro) July 21, 2024
🧠😶🌫️ Approach and causes of Seizures in kidney disease https://t.co/pxYGnrwyzZ@NDTsocial @hjanders_hans pic.twitter.com/xgbH8nx5qg
— Jasmine Sethi (@JasmineNephro) July 22, 2024
💊OHA and Anticoagulant dosing in CKD@AJKDonline pic.twitter.com/y0QKEvxmbB
— Jasmine Sethi (@JasmineNephro) July 18, 2024
🫘🦶Gout management in CKDhttps://t.co/24gC6bF9XA pic.twitter.com/1YOuvHOmtF
— Jasmine Sethi (@JasmineNephro) July 16, 2024
Dialysis and access
📛Dialysis Dyseqillibrium Syndrome (1/n)
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) May 17, 2020
⚡Neurological deterioration in patients on Hemodialysis
⚡First described by Kennedy AC et al (Lancet, 1962)
⚡Waste basket❓
⚡Diagnosis of exclusion
Unroll…#NephroNotes #Nephpearls #FOAMed pic.twitter.com/5d3V5frR2i
2A/ 🔎Functional and cognitive impairment and frailty in patients on HD are highly prevalent
— KIReports (@KIReports) July 1, 2024
🔎They are strongly and independently associated with adverse health outcomes as evident in the following review @CJASNhttps://t.co/b3HLUECIVE
#Nephmadness2024 : Peritoneal Dialysis Region 🧵#PDfirst
— Kajaree Giri (@KajareeG) March 5, 2024
🤝 Shared decision making: patient preferences – most imp factor in PD initiation
📌 Late starts do not affect mortality: however, unplanned starts ❌ avoid
🌟 Incremental PD: ⬆️ patient friendly, ⬇️ peritonitis#NephEdC pic.twitter.com/RjegQIGDCY
📌take aways from PD catheter insertion Workshop at @AVATAROrg
— Jithu Kurian🇮🇳 (@Jithukurian6) July 9, 2023
Anatomy 🎯 for PD catheter insertion @Narayansgpgims @Ubkhanna @ISPD1
🔴 Arcuate line 📈 : placed midway between the umbilicus and pubic symphysis
🚨 point of entry of inferior epigastric artery to Rectus… pic.twitter.com/bF5bsyYsdV
Long term outcomes depend also on
— KIReports (@KIReports) May 18, 2024
🛑The success of intervention itself ☑️💯
🛑Rate of early failure ⏳ (11% of AVFs already failed by weeks 2, so no benefit from surveillance program)
🛑Not all at-risk AVF identified could then be successfully salvaged 🥲
Onconephrology
20/⭐ Lymphocytic and plasma clonal directed therapy – used in cases of undetectable clones.
— KIReports (@KIReports) June 30, 2024
⭐Monitor patients on conservative management to check if they satisfy the criteria for clonal directed therapies.
⭐Low threshold for kidney biopsy.
🚨Tweetorial Alert🚨
— KIReports (@KIReports) May 14, 2024
1/ Which of the following are features of #MGRS?
17) Learning points:
— KIReports (@KIReports) March 12, 2024
♀️ who remained in the screening “up-to-date” states may be:
📌 Healthier
📌More likely to be listed on the transplant waiting list
📌Policymakers to consider a personalized & risk-based approach to breast🦀 screening in ♀️ on maintenance dialysis
📌take aways from PD catheter insertion Workshop at @AVATAROrg
— Jithu Kurian🇮🇳 (@Jithukurian6) July 9, 2023
Anatomy 🎯 for PD catheter insertion @Narayansgpgims @Ubkhanna @ISPD1
🔴 Arcuate line 📈 : placed midway between the umbilicus and pubic symphysis
🚨 point of entry of inferior epigastric artery to Rectus… pic.twitter.com/bF5bsyYsdV
🗣️ 💡Had a talk on Cancer and CKD-Surgical issues for a nephrologist @onconephrology #onconephind24
— Jasmine Sethi (@JasmineNephro) June 9, 2024
🧵 Sharing my slides here ☺️@isn_india @ISNeducation @kdjhaveri @VinBhargava @onconephsociety @SabineKaram6 @womeninnephro pic.twitter.com/bVvrwcwIXf
🧵OncoNeph Tweetorial 🔔 alert
— American Society of Onconephrology (@onconephsociety) May 22, 2023
Can you identify the diagnosis on CT image 👇
🔥Follow the thread for a interesting discussion on a rare disease pic.twitter.com/HoCpbdfXRn
💊Methotrexate Nephrotoxicity-What u need to know 🔥🔥
— American Society of Onconephrology (@onconephsociety) October 7, 2023
🎙️by @JayaKala11 #ason2023 @onconephsociety
🔬🧫Diagnose-MTx level +Urine exam 👇
✋HDMTX(High dose MTx )> 500 mg/m2 risk of AKI
🔥Leucovirin rescue restores tetrahydrofolate stores-resumption of DNA/RNAb synthesis pic.twitter.com/JbzwhDtuWM
🔥🆕Let’s discuss Bevacizumab/Avastin-Kidney 🤕
— American Society of Onconephrology (@onconephsociety) June 30, 2023
✅Anti VEGF antibody
✅➡️RCC/breast Ca/Ovarian Ca
✴️Renal toxicity
🔥TMA (renal and systemic)
🔥Glomerular injury/Proteinuria/ collapsing FSGS
🔥HTN
🔥Cryo MPGN
✅Extrarenal-Rash/HTN/impaired wound healing @onconephsociety pic.twitter.com/3DTv4wBTfY
💥You look for Parvovirus B19 in case of unresponsive anaemia in post transplant case
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) July 30, 2023
⚜️Do you know it’s Pathognomic feature in BM Biopsy⁉️
"Giant Pronormoblasts" with
prominent cytoplasmic vacuoles & intranuclear inclusions#NephroNotes #Nephpearls #FOAMed #MedEd #MedTwitter pic.twitter.com/55gM4Ob5ho
1 #OncoNephNotes
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) June 22, 2022
💥Cancer drug induced TMA
❓Which antitumor therapy causes more severe TMA? (⬆️mortality)
Unroll…#Onconephrology #NephroNotes #Nephpearls #FOAMed #MedTwitter #MedEd
🫘🦀Monoclonal Gammopathy related kidney lesionshttps://t.co/rnqNxY8mgB@AJKDonline pic.twitter.com/cIYicPWVJE
— Jasmine Sethi (@JasmineNephro) July 26, 2024
Stones
Tweetorial alert
— KIReports (@KIReports) April 30, 2024
1) Hey #NephTwitter & #MedTwitter, let’s start out with a quiz! Which of the following is not a risk factor for developing calcium phosphate kidney stones?
🙇♀️ 24 hour urine chemistry in a patient with renal stone @AJKDonline core curriculum pic.twitter.com/WVmBQ5ZLOC
— Jasmine Sethi (@JasmineNephro) July 18, 2024
Pregnancy and Kidney
It is important to note that use of CIT (Eculizumab) does not pose any teratogenic effects to the fetus or neonate during breastfeeding and can be used safely postpartum. Take a look at this 10-year analysis published in 2019!https://t.co/Lf6WZBZ4Ll
— KIReports (@KIReports) May 10, 2024
✴HD in Pregnancy: NephroTips(1/2)
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) January 8, 2021
♨️⬆️Frequency
⬇️Volume exchange
♨️Target UF<1500ml/#
♨️Assess fluid status monthly👉Weekly in 3T
♨️Target Wt guide: Fetal amniotic fluid volume‼️
♨️Adjust dialysate
⬆️K/Ph
⬇️HCO3
♨️New AVF/Graft🚫
Unroll#NephroNotes #FOAMed #MedTwitter #MedEd
♨️#NephTwitter Residents
— Sourabh Sharma MD DNB FASN FISN (@iamnephrologist) July 8, 2023
Suggesting again
“7 point differential assessment” for
💥AKI in Pregnancy (1/6)
1️⃣Period of gestation
2️⃣Prodromal symptom
3️⃣Coagulopathy
4️⃣LFT
5️⃣Platelets
6️⃣Hemolysis evidence
7️⃣Hypertension
Unroll…#NephroNotes #FOAMed #MedTwitter #MedEd #NephPearls
Electrolytes
🤔Appproach to Hypokalemia @krithicism pic.twitter.com/NWyAJe5XDp
— Jasmine Sethi (@JasmineNephro) July 25, 2024
🧐Hyponatremia treatment https://t.co/AKst1kSome@NDTsocial @hjanders_hans pic.twitter.com/RFtwAYYSpS
— Jasmine Sethi (@JasmineNephro) July 24, 2024
✅Acid Base Analysis 🧐 pic.twitter.com/5DnbBEWtyG
— Jasmine Sethi (@JasmineNephro) July 24, 2024
🧬🫘Inherited Disorders of Sodium/Water handling
— Jasmine Sethi (@JasmineNephro) July 22, 2024
Textbook of Feehally pic.twitter.com/YCtNbA92in
🎯💯 Electrolyte Disturbances in Cirrhosis @AJKDonline core curriculum pic.twitter.com/gYXa5Zb0rt
— Jasmine Sethi (@JasmineNephro) July 16, 2024
Section Contributors
Dr. Jithu k
Dr. kajaree giri
Dr. nikita pawar
Dr. subashri
Dr. Isha Tiwari
Dr. Sourabh Sharma
