Kidney Disease

Statin-based therapy less effective in advanced chronic kidney disease

Statin-based therapy less effective in advanced chronic kidney disease

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Statin-based therapy had a smaller effect in reducing major vascular events in patients with advanced chronic kidney disease.

Preventing acute kidney injury

Preventing acute kidney injury

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Monitoring kidney function in hospitalized patients can help prevent acute kidney injury.

Black urine after a spinning class

Black urine after a spinning class

After taking a spinning exercise class, a woman developed acute kidney injury.

HIV-positive kidney transplantation results 'impressive'

HIV-positive kidney transplantation results 'impressive'

Of the 27 HIV-positive patients with kidney disease who received transplants from HIV-positive patients who had died, 74% were alive after five years.

Quantifying proteinuria

Quantifying proteinuria

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What is the best method to use when quantifying proteinuria in children and adults?

ADA: Diabetes rising significantly in U.S. youth

ADA: Diabetes rising significantly in U.S. youth

From 2001 to 2009, type 1 diabetes prevalence increased 23% and type 2 diabetes prevalence increased 21% among youth aged 10 to 20 years.

Best procedure before ordering a radiologic study with contrast?

How much of a workup do you recommend before ordering diagnostics with contrast (assuming kidney function tests are normal)?

Renal disease, diabetes linked to uric acid

Uncontrolled serum uric acid in patients with gout is associated with an increased risk of developing kidney disease and diabetes, according to the findings from two studies presented at the 2011 American College of Rheumatology Meeting.

Cooking technique for dialysis patients

Patients on dialysis much watch their potassium intake from vegetables like potatoes. Offer this cooking tip.

Which radiologic test to use for abdominal pain

How do I know which radiologic tests to choose when evaluating abdominal pain?

Kidney mass detected on ultrasound doubles in size over nine months

Kidney mass detected on ultrasound doubles in size over nine months

Imaging was ordered when the patient's clinician could not palpate her ovaries.

Dialysis access when both arms have shunts

If a patient has a nonfunctional arteriovenous (AV) shunt in one arm and a functional shunt used for dialysis in the other, does the avoidance of an IV access in the arm with the nonfunctional shunt still apply?

FDA clears new kidney transplant drug

Belatacept (Nulojix) received FDA approval for use with other immunosuppressants to prevent organ rejection among kidney transplant recipients.

Adult polycystic kidney disease management

Adult polycystic kidney disease management

One of the most common causes of chronic kidney failure, polycystic kidney disease is an inherited condition with no proven treatment.

Triple-marker renal panel predicted CKD outcomes better than creatinine alone

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Patients with chronic kidney disease as determined by elevated creatinine, cystatin C and albuminuria, had a 3-fold increased risk for death and a 4-fold increased risk for end-stage renal disease compared with those whose CKD was predicted by creatinine alone.

Quadruple HCV therapy effective for nonresponders

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Adding two experimental direct-acting antivirals to standard therapy improved outcomes among patients with hepatitis C infection that failed to respond to earlier treatment.

Managing type 2 diabetes with renal impairment

Managing type 2 diabetes with renal impairment

Early identification and treatment is essential to the prevention of chronic kidney disease, a common diabetes complication.

Hyponatremia on the rise

I seem to be seeing a lot more hyponatremia. Some of these patients are taking diuretics, while others have psychogenic polydipsia or syndrome of inappropriate antidiuretic hormone secretion (SIADH). Others have no known cause. Is there an explanation for this increase?

Use cystatin C to detect kidney problems

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Cystatin C blood measurements may be useful in assessing the risk of complications associated with chronic kidney disease.

Patient presents with a "smoking" penis

Abnormal urinalysis and blood work reveal a rare condition.

Managing hyponatremia

Some individuals develop hyponatremia when on a diuretic — not because the sodium level is diluted, but because the diuretic causes the sodium to be excreted with the excess fluid.

Vitamin D supplements may lower renal risk in diabetes patients

Paricalcitol, a vitamin D analogue, may be an effective adjunctive therapy to renin-agniotensin-aldosterone system inhibitors for treating patients with diabetes who have a high risk for residual kidney problems.

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