Protector of kidneys, nephrologist, patient advocate, teacher, artist, people lover and founder of The Kidney Protector Project!
Chesapeake, VA
Joined July 2020
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TheKidneyProtector retweeted
Simple recent case but so many things to teach.
LM: Diffuse proliferative GN
IF: granular IgG 1+, 3+ C3 3+
EM: numerous subepithelial humps, few subendothelial deposits.
Dx: Infection-related glomerulonephritis.
60 yr-old woman with acute kidney injury, hematuria, sepsis.
TheKidneyProtector retweeted
How do SGLT2is protect the kidneys? It's simple, let me show you. See? Simple. #KidneyWk
TheKidneyProtector retweeted
This biopsy shows the characteristic features of uric acid nephropathy (commonly known as gout), which results from precipitation of uric acid in the kidney parenchyma. Tophi frequently occur in the medulla, and usually consist of central regions of acellular, granular material surrounded by epithelioid macrophages, syncytial-type giant cells, and lymphocytes. Most tophi are also associated with crystalline clefts formed by the deposition of monosodium urate (see arrow). Urate crystals are best seen in alcohol-fixed tissue or in frozen tissue sections, since most crystals dissolve after routine formalin fixation.
#TeachingPoints #kidneypath #renal #pathx #nephx
TheKidneyProtector retweeted
This image is from a biopsy of a young female who presented with proteinuria during pregnancy. Routine immunofluorescence was negative. What is this stain and what is your diagnosis?
#DiagnoseThis #nephx #pathx #renal #kidneypath
TheKidneyProtector retweeted
Diagnostic Yield of Whole-genome #Sequencing in Patients With #KidneyFailure of Undetermined #Etiology ≤50 years
#VisualAbstract by @priti899
kireports.org/article/S2468-…
TheKidneyProtector retweeted
In practice, I often see Hydralazine being prescribed as a first-line antihypertensive agent 🫣
⚠️ Side effects: Fluid retention, tachycardia, ANCA Vasculitis 🔥
📌 These potent vasodilators are not first line and when used in the treatment of resistant #hypertension, they may be added “only if” already on a BB (or bradycardic) and loop diuretic
#Nephpearls
👉🏼 pubmed.ncbi.nlm.nih.gov/4081…
TheKidneyProtector retweeted
While hypertension (HT) in pediatric patients is often secondary (SH), recent trends show a rise in primary hypertension (PH). Read this Original Article on the etiology of HT & factors associated w/PH in a large European cohort of children. #OpenAccess
link.springer.com/article/10…
TheKidneyProtector retweeted
Acute kidney injury (AKI) is associated with higher risk of mortality and progression to chronic kidney disease. This study found that providing education, alleviating treatment burden, and implementing a comprehensive model of care may help address the needs of patients with AKI leading to better outcomes. bit.ly/CJASN0605
@AmandaSluiter
@gstrip3
ALT Visual abstract for "Perspectives and Experiences of Patients with Acute Kidney Injury: a Systematic Review."
TheKidneyProtector retweeted
Acute kidney injury is a complex syndrome typically classified into strict categories. This study highlights the complexity of AKI and the utility of latent class analysis in revealing its clinical heterogeneity. bit.ly/CJASN0530
ALT Visual abstract for "Phenotypes of Dialysis-Requiring Acute Kidney Injury and Associations with Mortality in a South American Population."
TheKidneyProtector retweeted
Review by Chintan V. Shah, @Nephro_Sparks, and Chien-Te Lee:
Sodium/Glucose Cotransporter 2 Inhibitors and Magnesium Homeostasis
buff.ly/3Urbg9J (FREE)
@DukeKidney
TheKidneyProtector retweeted
Circinate Syphilitic Lesions
manualofmedicine.com/spot-di…
TheKidneyProtector retweeted
Kussmaul’s sign: distention of jugular veins during inspiration. Negative intrathoracic pressure during inspiration pulls bloods into the right heart, but is restricted by noncompliant pericardium or myocardium (HF, pericarditis, tumors, massive PE, restrictive cardiomyopathy)
TheKidneyProtector retweeted
Today @LGlaucomflecken won an award from the American Heart Association for her cardiac arrest and survivorship advocacy. She’s my hero.
TheKidneyProtector retweeted
We need to teach how doubt is not to be feared but welcomed and discussed.
It's OK to say, "I don't know."
TheKidneyProtector retweeted
It's #WorldMentalHealthDay.
Close to 1️⃣ billion people have a #MentalHealth disorder. Despite the magnitude of mental ill health, relatively few people around the 🌍 have access to quality mental health services.
Let's make mental health & well-being for all a global priority!
TheKidneyProtector retweeted
Well done! Educating nations can increase awareness, delay progression & help save lives from #kidney disease. Shoutout @KidneyProtector👉 thekidneyprotector.com/be-in… & 👇#Education Saves lives!
"Your kidneys aren't important, you can live without them."
"You can just get a transplant and you're cured."
There are A LOT of misconceptions about kidneys and kidney disease, and we hear them every day.
Watch below to find out why #KidneysMatter 👇
TheKidneyProtector retweeted
Cast containing oval fat bodies and other renal tubular epithelial cells (RTEC) with engulfed lipid droplets, and surrounding RTEC and WBC. SM-stain, 50x. Granular cast upper left corner. Progressive proteinuric CKD. #UrinarySediment #UrineMicroscopy @OchsnerNephro @LGlomcon – at New Orleans, LA
