Nephrology

New guideline for managing kidney stones is released

New guideline for managing kidney stones is released

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Guideline from the American Urological Association has been revised to incorporate the management of patients with staghorn renal stones.

Renal function can predict preeclampsia in pregnant women with hypertension

Renal function can predict preeclampsia in pregnant women with hypertension

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Baseline renal function tests may predict the risk of preeclampsia and preterm birth for pregnant women with hypertension.

Cultural considerations in diabetes: controlling HbA1c in a patient observing Ramadan

Cultural considerations in diabetes: controlling HbA1c in a patient observing Ramadan

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A patient with type 2 diabetes is undergoing dialysis and needs to control his HbA1c levels while fasting during Ramadan.

COPD may increase risk for chronic renal failure

COPD may increase risk for chronic renal failure

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In patients with COPD, chronic renal failure is more likely and can be detected from decreased glomerular filtration rates.

HIV treatments, immunosuppressants may interact in transplant patients

HIV treatments, immunosuppressants may interact in transplant patients

A renal transplant recipient experienced drug interaction-induced calcineurin inhibitor nephrotoxicity after starting a cobicistat-containing combination treatment for HIV.

Managing nephropathy in a patient with type 2 diabetes

Managing nephropathy in a patient with type 2 diabetes

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A patient with type 2 diabetes presents with elevated microalbumin levels and a recent history of elevated glucose due to bedtime snacking.

CDC works to eliminate HCV transmission in hemodialysis

CDC works to eliminate HCV transmission in hemodialysis

The organization encourages dialysis providers to improve current infection control practices.

Kidney stones becoming more common among youth, women, African Americans

Kidney stones becoming more common among youth, women, African Americans

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The annual incidence of kidney stones has increased 16% between 1997 and 2012

Online risk calculator predicts kidney failure odds in chronic kidney disease patients

Online risk calculator predicts kidney failure odds in chronic kidney disease patients

A new online risk calculation tool predicts kidney failure odds in patients with chronic kidney disease.

Ventricle pacing reduces heart failure in chronic kidney disease patients

Ventricle pacing reduces heart failure in chronic kidney disease patients

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Researchers found a 15% to 20% reduction in the risk of hospitalization for or death from heart failure in patients who received cardiac resynchronization therapy with defibrillator (CRT-D).

Fever and tachycardia after a liver transplant

Fever and tachycardia after a liver transplant

A 29-year-old woman, 12 years post-liver transplant, presents with fever and tachycardia and had recently reported fatigue, weakness, and abdominal pain.

EKG metrics may signal risk for cardiovascular death in CKD patients

EKG metrics may signal risk for cardiovascular death in CKD patients

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Five EKG parameters can identify chronic kidney disease patients at risk for cardiovascular death.

Hemodialysis patients can be trained to reduce fluid, salt intake

Hemodialysis patients can be trained to reduce fluid, salt intake

Training can help reduce fluid and salt intake in patients undergoing hemodialysis.

Preventing acute kidney injury

Preventing acute kidney injury

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

Sugary beverages linked to nonalcoholic fatty liver disease

Sugary beverages linked to nonalcoholic fatty liver disease

People who drink more than one sugary beverage per day have an increased risk of developing NAFLD.

Ezetimibe not effective in treating NASH

Ezetimibe not effective in treating NASH

Ezetimibe did not outperform placebo in reducing liver fat in nonalcoholic steatohepatitis (NASH).

Additional evidence of link between psoriasis, kidney disease

Additional evidence of link between psoriasis, kidney disease

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Patients with psoriasis should avoid long-term use of medications that are toxic to the kidneys.

Biologic therapy may be safe for hemodialysis patients with psoriasis

Biologic therapy may be safe for hemodialysis patients with psoriasis

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Patient with psoriasis were unsuccessfully treated with conventional therapies before treatment with biologics.

Black urine after a spinning class

Black urine after a spinning class

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

Pediatric acute kidney injury intervention improves patient follow-up rates

Pediatric acute kidney injury intervention improves patient follow-up rates

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The follow-up pathway utilizes trigger reports, tracking spreadsheets, and educational materials to improve patient satisfaction.

Renal failure in a patient with maturity onset diabetes of the young

Renal failure in a patient with maturity onset diabetes of the young

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A patient presented to the office with a 45-year history of maturity onset diabetes of the young after renal failure.

Walking two minutes per hour may reverse negative effects of sitting

Walking two minutes per hour may reverse negative effects of sitting

Trading two minutes of sitting for two minutes of light-intensity activity each hour lowered the risk of premature death by 33%.

High water intake may decrease kidney stone risk

High water intake may decrease kidney stone risk

Patients who reported drinking a higher volume of water (at least 2.0 to 2.5 liters per day) were at a reduced risk for recurrent kidney stones.

Urine albumin-to-creatinine ratio is test of choice

Urine albumin-to-creatinine ratio is test of choice

Since 2002, the urine test of choice is a urine albumin-to-creatinine ratio (UACR), which is a spot urine test.

Diets high in meat, acid up kidney failure risk in CKD patients

Diets high in meat, acid up kidney failure risk in CKD patients

Those who consumed high-acid diets appeared to face triple the risk of kidney failure compared with those who consumed low-acid diets.

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.

High fiber intake may lower kidney stone risk in postmenopausal women

High fiber intake may lower kidney stone risk in postmenopausal women

There were no significant protective effects noted for fiber, fruit, or vegetable intake on the risk of kidney stone recurrence in women with a history of stones.

New drug combo wins FDA approval to treat UTIs, intra-abdominal infections

New drug combo wins FDA approval to treat UTIs, intra-abdominal infections

Ceftolozane/tazobactam is the fourth antibiotic to be FDA approved in 2014

Yellow lights, digoxin toxicity


Yellow lights, digoxin toxicity


A woman complaining of seeing yellow lights is diagnosed with digoxin toxicity.

Statin use advised in chronic kidney disease


Statin use advised in chronic kidney disease


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A new study indicated that older patients with predialysis chronic kidney disease should take statins.

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