Carolina Fonseca J. Silva

Nephrologist 🇪🇸🇵🇹 & Bachelor's degree in Nutrition

[Srinivas Mahesh Prasad Nephrologist @NephPrasad]

Tacrolimus: Route of Administration
#Nephrology #Nephro #Medicine #MedTwitter #Nephtwitter

[Srinivas Mahesh Prasad Nephrologist @NephPrasad]

RENAL BIOPSY
Sample Size and Needle Gauge

#Nephtwitter #MedTwittee #Nephrology

[Abdelhamed Hamdy @Abdelhamed6261]

Complement inhibitors for kidney disease

[Medical Info @Medicalinfo111]

Approach to polyuria

[Ahmed Bennis MD 🫀 @drbennisahmed]

🧵 Cardiorenal pharmacotherapy cheat-sheet — 5 drug classes, one visual.
RAASi | ARNI | SGLT2i | ns-MRA | GLP-1 RA
Key patterns worth knowing:
• 4 of 5 reduce MACE or HFH
• All 5 slow eGFR decline or cut albuminuria
• Hyperkalemia risk: RAASi, ARNI, ns-MRA
• SGLT2i → genital infections | GLP-1 RA → GI side effects
Hemodynamics snapshot:
↓ eGFR on initiation is expected with most — don’t panic, it’s often renoprotective long-term.
ARNI is the outlier: eGFR no change, but watch UACR.
Save this. Share it. Your patients’ kidneys will thank you. 🫀🩺
#Cardiology #Nephrology #HeartFailure #CKD #SGLT2i #GLP1 #MedEd #CardioreналSyndrome

[Internal Medicine @pgMedicine]

Finerenone vs spironolactone

[CKJ @CKJsocial]

Ten tips to control blood pressure in haemodialysis patients

https://t.co/43csn4h7NP

[CKJ @CKJsocial]

Nutcracker syndrome in 2026:

a nephrologist-oriented diagnosis and management

https://t.co/XdKf49UB8D

[ENARM ⚡ Intensivo 💯👨🏻‍⚕️🩺📚🔬 @ENARM_intensivo]

💢SEROLOGÍA DE LA HEPATITIS B

#ENARM_INTENSIVO #ESTUDIA_MEDICINA

[Juan Manuel Mejía @Meyaix]

https://t.co/7BolZ2IZrM As Octavia Spencer & Sofia Vergara recommend: if you have high blood pressure or diabetes, you should ask your doctor to measure uACR (urine albumin to creatinine ratio)... nice superbowl commercial: mission detect the SOS

[Lama Alghamdi @Ph_LamaAlghamdi]

ALL IV FLUIDS: COMPLETE, EASY ⭐️

[Carolina Fonseca J. Silva @cfjs_]

@NefrologiaSa @VantiveHealth Muy orgullosa!!

[Aravind Palraj @Rheumat_Aravind]

Acute Kidney Injury is more mismanaged than misdiagnosed.

🧪 Fluids help only if hypovolemic
🩸 FENa fails in diuretic use
🧬 FEUrea >50% → ATN
💧 Stop “fluid challenges” in CHF / cirrhosis
🆘 Dialysis = AEIOU

A 2025 practical framework every clinician should know 👇

#AKI #AcuteKidneyInjury #Nephrology @DrAkhilX @IhabFathiSulima #InternalMedicine #MedTwitter #FOAMed #HospitalMedicine

[Aravind Palraj @Rheumat_Aravind]

🩸 Anticoagulation made simple - 2025 update.
A quick guide to what clinicians actually need:

• When to start (AF, VTE, valves, APS, LV thrombus)
• When to avoid DOACs (mechanical valves, severe MS, triple-positive APS)
• When to bridge - and when not to
• When it’s safe to stop
• How to reverse DOACs and warfarin
• Key contraindications

Infographic by Dr. Aravind Palraj
#MedTwitter #CardioTwitter #FOAMed @DrAkhilX @IhabFathiSulima @DrNikhilMD #InternalMedicine #BloodClots

[Manual Of Medicine @ManualOMedicine]

Pathophysiology of Renovascular Hypertension

#medtwitter #foamed #usmle

[Maria Jose Soler @PepaSolerR]

Very useful‼️Safe 💊💊 Breastfeeding With CKD - Kidney International Reports https://t.co/IJPn1xjOgE @womeninnephro @claudiayus @M_AriasNefro

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

Algorithm for kidney biopsy 🔬 evaluation in patients suspected to have MGRS ca. 2019 from @NatRevNeph
#Nephpearls

👉 https://t.co/ekMDgvlW12

[NephroPOCUS @NephroP]

Lower limb venous #anatomy for #DVT #POCUS
🔗https://t.co/yXUZViqBgc…
#FOAMed #Nephpearls
CFV and CFA = common femoral vein and artery
SFA, DFA = superficial and deep femoral arteries
PV, PA = popliteal vein and artery

[Dr sthanu subramanian @drsthanus]

Hypocalcemia - Diagnosis and Management.

*Supplement vitamin D for deficiency and calcitriol for CKD to bypass renal activation of vitamin D synthesis.

https://t.co/cmem7YpbA1

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

IgA Nephropathy (IgAN): Proposed treatment algorithm ca. 2024 from @goKDIGO @IgAN_JBarratt
#ERA25 🇦🇹 #Nephpearls