🚽🙄Urine exam patters and kidney 🫘🫘

✅Hematuria +dysmorphic RBC/RBC casts- Proliferative glomerulonephritis

✅Heavy albuminuria without hematuria-Non proliferative GN- Podocytopathy/Amyloid/MGN

✅Isolated pyuria-Think of infection

✅Creatinine is 🆙but urine exam is

#معلومه_تهمك

ارتفاع زلال البول albuminuria المزمن
لدى مريض السكري
الي نفحصه عادة بواسطةACR
يعتبر قصور كلوي حتى لو فلترة الكلى eGFR طبيعية

ويحتاج تدخل لحماية الكلى من الفشل

لذلك لا يمكن تقييم الكلى بشكل دقيق
اعتمادا على فلترة الكلى والكرياتنين فقط بدون زلال البول

الصورة مثال

ALBUMINURIA

👉Indicator of kidney damage and /or a biomarker of systemic diseases dates back to 1969, when elevated albumin levels were first demonstrated in the urine of patients with newly diagnosed diabetes.

👉Urine dipstick is a relatively insensitive marker for

Per ADA guidelines, regardless of A1c, people with type 2 diabetes with high risk factors for or established ASCVD should be considered for SGLT-2 inhibitor/GLP-1 agonist therapy. Same goes for CKD & albuminuria on max tolerated ACEI/ARB. These are cardiometabolic meds!

🔥Out now in #JCF ! This brief report shows that in the ongoing FINEARTS-HF trial, incorporating UACR reclassified kidney risk in 1/3 trial pts and US adults with HF, emphasizing the importance of albuminuria as part of comprehensive risk assessment.

🔗bit.ly/3UTfys8

3 months ago
Doctor: U have high sugar level, stop eating rice too much and you are healthy
Me: Okay

Now
Doctor: You have albuminuria, u need to be admitted to the hospital
Me: Bro wtf?

Sotagliflozina, eventos renales, albuminuria en nefropatia diabética.
-SCORED TRIAL-
🟡10,584 👫🏻 c/DM2
🟡Sotagliflozina v placebo
🟢Reducción 38% de MAKE (TFG <15, diálisis, trasplante)
🟢Reducción 23% evento cardio renal y muerte por CV/ renal

CJASN 2024
bit.ly/CJASN0414

Tener albuminuria >30 mg/g se asocia a mayor progresión a ERC, entonces tener <30 mg/g es suficiente?

Si comparamos tener 0-4 🆚 5-14 y 15-29 mg/g hay más:
-Progresión de la ERC: 8-10%‼️
-Necesidad de dialisis o trasplante: 5-7% ‼️

ACP:
doi.org/10.7326/M23-28…

🔴 Time to implement the #4pillars of “kidney GDMT”

✅RAS blockade
✅SGLT2i
✅ns-MRA
✅GLP-1 RA

✅Lifetime cardiovascular, kidney & mortality benefits of combination therapy in people with diabetes with albuminuria

ahajournals.org/doi/10.1161/CI…
#CardioEd #Cardiology #CardioTwitter

Cannabis Indica käyttökohteet Merc-manual 1899

1. Albuminuria - Katso myös Brightin tauti, Nefriitti.
2. Askiitti - Katso myös Vesitauti.
3. Ärtynyt virtsarakko - Katso myös Kystiitti, Virtsan karkailu, Kivitauti, Virtsatiehäiriöt.
4. Virtsarakon halvaus.
5. Akuutti Brightin

🆕📌 Albuminuria: Un factor de riesgo infravalorado de enfermedad cardiovascular.

📕 JAHA
🔓 cardioteca.com/prevencion/550…

بدا على دواء ضغط جديد …

١)غالبا بدا ايش ؟
٢)اسم السايد ايفكت ؟
٣)تاثيره على البوتاسيوم ؟
٤)تاثيره على albuminuria ؟
٥)اسم دواء الضغط من نفس العائلة يستخدم بحالات الطوارئ لا جينا ننزل الضغط ؟

Estimated Lifetime Cardiovascular, Kidney, and Mortality Benefits of Combination Treatment With SGLT2 Inhibitors, GLP-1 Receptor Agonists, and Nonsteroidal MRA Compared With Conventional Care in Patients With Type 2 Diabetes and Albuminuria

ahajournals.org/doi/10.1161/CI…

May's Journal Club lead to great discussions by Dr. Sood (Divya Sood) on how daprodustat performs in the treatment of heart failure for patients with CKD and by Dr. Hawkins on the association of albuminuria with CKD progression in those with a UACr <30!

🚫Urine Albumin-to-Creatinine Ratio (UACR)**: is a specific test that measures the ratio of albumin to creatinine in the urine. It is used to detect and monitor the presence of albuminuria, which is an early sign of kidney damage in individuals with diabetes or hypertension.

📢Nice to see our paper this issue JASN_News.
No benefit of urate lowering (verinurad & allopurinol) on albuminuria or GFR despite⬇️uric acid😢. Time to focus on monosodium urate crystals?🧑‍🔬University Of Limerick HRI HealthResearchBoard Int Society of Nephrology Irish Kidney Association Irish Nephrology Society University Of LimerickHospitals

ALBUMINURIA

Satyendra Dhar, MD SFHM #MedEd #MedX

Sylvia Rosas,MD,MSCE covers LOTS of ground in her #nkfclinicals presidential address including transplantation efforts, albuminuria screening, the future of xenotransplantation, home dialysis advocacy, pediatrics, and advances in pharmacotherapy. So much amazing work from NKF Nephrology Professionals!

Carfilzomib-associated renal toxicity in 17% of patients; 5% had TMA albuminuria >1 gr/day in 6% and G 3 AKI 5%!

#mmsm #MedTwitter OncoAlert USMIRC News #USMIRC #MedEd #myeloma #Oncology

🆕📌 Efectos aditivos de dapagliflozina y finerenona sobre la albuminuria en la enfermedad renal crónica no diabética.

📕 Clin Kidney J
🔓 cardioteca.com/blog-diabetes/…