Nephrologist @MedStarGUHNeph. Friend of @StanfordNeph. Proud @YaleNephrology and @BIDMC_IM alumnus. Scale plastic model enthusiast. RI born. View my own.
I had a great time writing this debate for @ASNKidney360 about the utility (or lack there of) of FeNa/FeUrea in #aki with my good friend from @uconnhealth and @BIDMC_IM@JGAmatruda. I’m especially greatful they let us start it off with a @starwars quote
Are fractional excretion of sodium and urea useful tools in the evaluation of AKI? #jnlpoll
Join the debate! Read the articles and share your thoughts below https://t.co/5LMNkLxb6T
@KamelGharaibeh@AW_Aron88@JGAmatruda
@rmohty As you know from the old studies there seems to be a positive Na balance not coupled with +H20 balance of unclear mechanism. Makes you wonder if other channel activity is altered leading to this non-osmotic Na gain. ? If it goes to bone/muscle/soft tissue ECM
@rmohty Interesting to see that the trend in low renin and ANP but not Aldo levels help with more modern, larger data sets. The dephosphorylation of NCC and NKCC is intriguing
Case report out as a @Kidney_Int Make Your Diagnosis article by @RandyLucianoMD and Yale Neph Fellow Alum @AW_Aron88 now at @MedStarGUHNeph!
Hint: it’s a rare manifestation of a rare disease.
Great pictures!!
https://t.co/CvU8iF3k2d
@ross_prager Chest takes on a spherical shape during microgravity and West’s zones of the lung change based on redistribution of V/Q 2/2 how the lung hangs in the thoracic cage. I’m sure this plays a role but I’m just a nephrologist…
https://t.co/IIQhNJ1cT7
@rbganatra@AustinBaraki@kidney_boy Anytime! Other thing to keep in mind, though more for CRRT, is higher UF can increase filter clotting risk. ⬆️ UF ⬆️ filter Hct (#virchowtriade) so that can be a limitation too https://t.co/1pYt59nls6