Prabhav Bhansaly, MD

DM(Nephrology)Trainee at PGIMER. Living a balanced life. Healing👨‍⚕️Travelling✈️ Cooking 🧑‍🍳 Partying🕺🏼Family👨‍👩‍👦

[Prabhav Bhansaly, MD @KidneyBalance]

#nephrocare#kidney

[Prabhav Bhansaly, MD @KidneyBalance]

@JasmineNephro @NiranjanAV11 @_harbirkohli @raja_1980 @DivyaveerSSNeph @manirath Thank you @JasmineNephro mam

[Prabhav Bhansaly, MD @KidneyBalance]

Happy makar sakranti #kidneybalance#health#education#pongal

[Prabhav Bhansaly, MD @KidneyBalance]

4 pillars of interventional nephrology

[Jasmine Sethi @JasmineNephro]

🫘🙌Interpretetion of SPEP

⏬Full link to our blog

https://t.co/MiLjTBYhUy

@KidneyBalance @VinBhargava
#OncoNephrology

[Prabhav Bhansaly, MD @KidneyBalance]

@JasmineNephro Thal/SCA

[Prabhav Bhansaly, MD @KidneyBalance]

@JasmineNephro Hair on end

[KDIGO @goKDIGO]

KDIGO is pleased to announce the publication of the 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease (CKD).

Read the news release: https://t.co/kXzi5xxCvK
Download the guideline: https://t.co/wA8RRI90j9
Read the guideline in Kidney International: https://t.co/VHIZL34ls8

The KDIGO 2024 CKD Guideline was co-chaired by @adeeralevin and @KidneysRU. The Executive Summary will be published in the April 2024 issue of @Kidney_Int.

“We are thrilled to publish this eagerly anticipated update, which comes during a transformative period in nephrology, offering new hope for people living with kidney disease," said Dr. Levin. “Recent advancements in GFR evaluation, risk prediction, and the arrival of novel treatments are poised to enhance CKD prognosis and management. We also hope the guideline’s emphasis on multidisciplinary teamwork, patient engagement, and a holistic, evidence-based approach to care will help catalyze positive change, resulting in more coordinated CKD care management worldwide. By integrating the latest evidence and expert consensus, we aim to empower healthcare professionals, and patients with actionable recommendations to optimize patient outcomes and enhance quality of life.”

“As Co-Chairs, we would like to recognize the outstanding efforts of the Guideline Work Group and extend our thanks to the Evidence Review Team from Johns Hopkins, without whom this guideline would not have been possible," said Dr. Stevens. "The Work Group was diverse, multinational, highly experienced, and exceptionally committed, and we are grateful for their contributions to both this guideline and to global nephrology.”

[Jasmine Sethi @JasmineNephro]

🦴🦴 Steroid induced Osteoporosis

🛎️Doses as low as 2.5 mg daily for 3-6 months can lead to fractures

✅FRAX-Fracture risk assessment tool -Calculates 10 year probability of fracture

🙏For Adults > 40 on steroids > 6 months-FRAX score should be done 👍

https://t.co/oE9PpgLqCm

[Prabhav Bhansaly, MD @KidneyBalance]

Renal 🫘histopathology 🔬in ANCA vasculitis..

A. Necrotizing extracapillary proliferation/ crescents 🌙

B. Periglomerular granulomas🫘✨

C. Interstitial granulomas and tubulitis⭐️💥

D. Segmental fibrinoid necrosis in interlobular arteries 🩸💥

[Prabhav Bhansaly, MD @KidneyBalance]

Great lecture on PALF and CRRT modality by Dr Akash Deep @aakashdeeparora at PGI, Chandigarh. Thank you sir for the wonderful insights.

[Jasmine Sethi @JasmineNephro]

😖CKD assoc pruritis CKDaP🔥

⁉️Inadequate HD/⬆️PO4/Hyperpara/Xerosis

✏️⬆️Mu/⬇️Kappa opioid receptor

💊Optimize HD-HDF 👍

Step wise 👇

1️⃣Skin emollient
2️⃣Topical analgesic-pramoxine/capsaicin
3️⃣antihistamin
4️⃣Gabapentin
5️⃣Refractory-Difelikefalin K agonist

🤩Definite-Tx

[Jasmine Sethi @JasmineNephro]

✍️Dual ANCA/Anti GBM(DPP)

⬆️multiorgan in DPP>anti GbM

🥸🔬crescentic GN+linear IgG

🥶Chronicity⬆️s/o old flares

👏Prognosis DPP👌>anti gbm

⬆️Recurrence DPP-maintenance✅

✍️Initial 💊 like GBM-Steroid+Cyclo +PLEX

🔥Neutrophil ⬆️by ANCA-ROS-GBM rupture-expose anti gbm Ag

[Prabhav Bhansaly, MD @KidneyBalance]

@JasmineNephro @NiranjanAV11 @witch_doc @dr_vaish26 Can it be given to liver failure patients?

[Prabhav Bhansaly, MD @KidneyBalance]

@JasmineNephro @NiranjanAV11 @dr_vaish26 Currant jelly, klebsiella

[Jasmine Sethi @JasmineNephro]

2/2

#MedTwitter #Nephpearls

🎯Absent TPMT enzyme activity (0.3% population)-Homozygous variant-Avoid Aza🚫

��Homozygous variant of NUDT15 gene-intolerant of AZA

✅🙏TPMT/NUDT15 genotype/phenotype testing should be done before starting Aza

[Prabhav Bhansaly, MD @KidneyBalance]

@nkf Stop taking salt.

[Prabhav Bhansaly, MD @KidneyBalance]

Seach water in your camera roll and post the first pic with a quote.. pondicherry waters

[Prabhav Bhansaly, MD @KidneyBalance]

@doc_nephron This was childhood onset NS to begin with

[Prabhav Bhansaly, MD @KidneyBalance]

A 17 year old male presents with relapse of iCONS which was steroid responsive and infrequent relapses. Next step? kidney bx or steroids?#askrenal

[Prabhav Bhansaly, MD @KidneyBalance]

@doc_nephron How much time will you wait before declaring steroid resistance, 4 weeks 6 weeks or 16 weeks?