Donald

[Donald @mitemadog]

@MathsWith_Sam Because square roots can also be negative, the numerator can have several possibilities: -12,-4,4,12, and the denominator +/-4. Thus there several possible answers: 3, -3, 1, -1

[Donald @mitemadog]

@SeeFisch In hyponatremia, anyone with Urine Osmolarity >100 = ADH present. (Effective) volume status will tell you if it’s appropriate or not . Merry Christmas!

[Donald @mitemadog]

@khalida_soki Like you I think this is a syndrome. I think the deafness is a clue. This excellent table by @rheault_m will help narrow a differential diagnosis. I am not sure if you have access to next gen sequencing but that would probably clinch the diagnosis.

https://t.co/2ashDROBlY

[Michelle Rheault @rheault_m]

Not all renal disease with deafness is #Alport syndrome. Couldn't find a comprehensive table, so I made one myself. #nephpearls

[Donald @mitemadog]

@khalida_soki Also, any family history?

[Donald @mitemadog]

@khalida_soki Interesting case. Was electron microscopy done at time of biopsy (if so any comment on BM thickness)? Any eye involvement? Neuropathy/myopathy?

[Donald @mitemadog]

@SeeFisch Add semaglutide (in diabetics) https://t.co/GulcU7Wt4x

[Donald @mitemadog]

@wisit661 Congratulations, prof! Well deserved!

[Donald @mitemadog]

@SamiAlasfar Well deserved! Congrats!

[Donald @mitemadog]

@Koubar_Sahar A new season

[Donald @mitemadog]

@saugarmaripuri https://t.co/g3sdNN1enQ

[Donald @mitemadog]

Listening to @BookBurton (way behind, I know!). In the context of known beneficial effects of SGLT2i in proteinuric CKD, does adding lasix to SGLT2i reduce their beneficial effects (since loop diuretics also reduce TGF via NKCC blockade at the MD? 🤔 @VelezNephHepato #Askrenal.

[Donald @mitemadog]

Donald Mitema, Nephrologistin Jackson MS. Lurking tonight. #NephJC

[Donald @mitemadog]

~Finis~

[Donald @mitemadog]

In living colors: the consult that wasn’t (excuse the handwriting)

[Donald @mitemadog]

An alternative to the Jaffe method is the enzymatic method, but even that has its confounding factors, excellently summarized here:

https://t.co/quPSjwm036