sunnesh reddy

NEPHROLOGIST &TRANSPLANT PHYSICIAN

[Sourabh Sharma @iamnephrologist]

🔥How does fever affect kidneys⁉️

⚡️GFR⬇️ with 2°C ⬆️
⚡️⬆️Urea/Cr
⚡️Glomerular capillary dilatation
⚡️Interstitium hemorrhage
⚡️Vascular stasis
⚡️RAS⬆️👉⬇️RBF
⚡️Direct injury
⚡️Renal hypoperfusion
⚡️Rhabdomyolysis

doi 10.1186/s13054-016-1375-5
#NephroNotes #NephPearls #FOAMed

[sunnesh reddy @SunneshR]

Pathogenesis of Rhabdomyolysis induced AKI

[sunnesh reddy @SunneshR]

These guys cant win u the world cup... there many players who play 50 ball 65 or 70 runs... they cant chase a score over 350.. winning is imp not individal milestones...

[sunnesh reddy @SunneshR]

@vikrantgupta73 If u wanna acore 380 plus u need a good start not a starflt.of 25 overs 150 a start of 90 runs or over first 10overs.. if u score 350 now no point ur losing..

[Karthikeya Tadepalli @KTreveals]

Just watched Nolan’s #TheOdyssey . If you are planning to watch but dont know anything about the story, Here’s a 5-min Homework you can do so you are not lost..

Note: If you’ve seen the movie Troy (2004) or know the basic Trojan War story, you’re 80% there. Because this story picks up right after Troy falls.

Backstory:

Helen, considered one of the beautiful woman in the world, is married to a Spartan king named Menelaus. A Trojan prince named “Paris” comes and takes her away (Another version says she runs away with him)

Menelaus is furious, calls in every Greek king who owes him a favor, and one of those kings is Odysseus, ruler of a small island called Ithaca.

Odysseus doesn’t even want to go as he’s got a newborn son and a wife back home but he’s bound by an old oath, so he leaves anyway. That’s why he’s at war in the first place. Its not his war.

The war drags on for years until Odysseus, the smartest guy of all, comes up with the Trojan horse tactic and ends it in one night. Troy falls and the greeks start to sail back home

That’s where The Odyssey actually begins. The setbacks and events he faces on the way back is the story.

Now, the people you need to know:

[Indian Society of Nephrology @isn_india]

12/

Practical approach

🟢 CKD screening, staging & prognosis → UACR

🔵 Disease-specific monitoring where evidence is proteinuria-based (MN, FSGS, many GN trials) → UPCR

🟡 Suspected overflow/tubular proteinuria? Don’t rely on UACR alone.

[Fong Voon Ken @Ironken6]

ISN Webinar: Interventions for CKDu in Endemic Regions - Progress and Outcomes
@ISNkidneycare
@ISNeducation

An interesting discussion on CKDu, starting with its incidence in Sri Lanka.

#ThisisISN
#ISNWebinar

[Aravind Palraj @Rheumat_Aravind]

Anti-dsDNA positive ≠ active lupus.

Before escalating treatment, ask:

🔹 Symptoms?
🔹 Complements falling?
🔹 Proteinuria?
🔹 Active urine sediment?
🔹 Creatinine rising?

The antibody is a clue—not the diagnosis.

📌 Treat the patient, not the antibody.
📌 Biopsy guides therapy, not anti-dsDNA alone.
📌 Trends matter more than isolated values.

#Rheumatology #Lupus #SLE #LupusNephritis #MedEd @docakx @IhabFathiSulima

[Indian Society of Nephrology @isn_india]

9/
The golden rule
📌 Complete vaccinations before transplantation whenever possible.
After transplant:
❌ Avoid live vaccines
✅ Continue indicated inactivated vaccines according to recommended timing.
Every nephrology OPD visit is an opportunity to review vaccination status.

[sunnesh reddy @SunneshR]

@Varungiri0 Im not gonna watch today t20 no vaibhav... these guys as sheryas captain are insecure about vaibhav and his talent.
Unfortunate talent dosent get a place at higher level

[sunnesh reddy @SunneshR]

@vikrantgupta73 Im not gonna watch today t20 no vaibhav... these guys as sheryas captain are insecure about vaibhav and his talent.
Unfortunate talent dosent get a place at higher level

[ERA - European Renal Association @ERAkidney]

2/ #ERA26

🔷Survival benefit with online HDF appears volume-dependent

🔷Prior trials (ESHOL, CONVINCE) suggested lower mortality when convection volumes exceeded ~23 L/session

🔷Whether expanded hemodialysis (HDx, Theranova) can match OL-HDF remains uncertain

[Indian Society of Nephrology @isn_india]

15/ Anti-obesity medications in CKD: Options?
• GLP-1 RA (semaglutide)
• Dual GLP-1/GIP Agonist (tirzepatide)
• GLP-1/glucagon agonist(cotadutide)
• Triple GLP-1/GIP/glucagon agonists (retatrutide)
GLP-1 RAs & dual GLP-1/GIP agonists have strongest evidence for obesity in CKD

[Sourabh Sharma @iamnephrologist]

🌸Acute Phosphate Nephropathy (1/n)
🔥Underrecognized
⚡OSP bowel purgatives
⚡Injury may take weeks after exposure to occur‼️

⚡Risk factors-
♦️Age>60yrs
♦️Female
♦️GFR<60
♦️HTN
♦️ACEI/ARB
♦️Diuretics
♦️NSAIDs

Pic-KI @ISNkidneycare
#Nephlearls #NephroNotes #FOAMed #MedTwitter

[Sourabh Sharma @iamnephrologist]

📛Muscle cramps in Dialysis
⚡Cessation of UF not useful

🌀Acute management:
🔺️Hypertonic Saline
🔺️25% Mannitol
🔺️50% DW- (overall preferred)
🔺️Quinine sulfate

⚡Stretching exercises during HD

#Nephpearls #NephroNotes #FOAMed

[sunnesh reddy @SunneshR]

@vikrantgupta73 @vikramchandra Abhishek didnt do anything in world cup exept finals he made some runs.. see the scorecard of abhishek in world cup

[sunnesh reddy @SunneshR]

@Varungiri0 Unforunate he should have played first t20 what abhishek has done he was a failure whole of world t20 exept in the finals he made some runs.. vaibhav deserved hes better than some of the players who are playing

[sunnesh reddy @SunneshR]

@vikrantgupta73 Unforunate he should have played first t20 what abhishek has done he was a failure whole of world t20 exept in the finals he made some runs.. vaibhav deserved hes better than some of the players who are playing

[Mythri Shankar 🇮🇳 @nephromythri]

@DrPSVali excellent talk on the role of family screening in ADPKD

@ispkd_india

#MasterclassInPKD

[Fong Voon Ken @Ironken6]

2/ 🩺 Kidney: AKI, proteinuria, hypertension
🧠 Brain: confusion, seizures, stroke
❤️ Heart: heart failure, arrhythmias, MI
🍽️ GI: abdominal pain, diarrhea, ischemia

@ISNkidneycare @ISNeducation
#ThisIsISN
#ISNwebinar