🫘💊How to initiate ACEi or ARB and how to monitor hyperkalemia/Creatinine

Int Society of Nephrology KDIGO #ISNWCN

theisn.org/initiatives/to…

My creatinine keeps increasing and my egfr keeps dropping. Soon I will have stage 3 kidney disease 🥲 I am currently at stage 2.

Okay this case feels very 'boards-able'. The patient is 6 years old with diarrhea and periorbital edema. Found to have elevated creatinine. Peripheral blood smear looks like this 👇

Suspected diagnosis?

#medtwitter #pathtwitter #hematology #boardreview

✨Ultra-Low Contrast PCI for bifurcation lesions: Case-based #Tweetorial 👇

Diagnostic image below with lesion in RCA/rPDA/rPL bifurcation.

Creatinine = 3.1
Total contrast use = 3 cc (final cine)

1/10🧵

#CardioTwitter #ACCFIT #Cardiology #CardioEd

🫘Dialysis in setting of Cirrhosis +AKI

👍Indications (In Liver transplant candidate)

⚡️Volume overload
⚡️Severe Hyponatremia in Cirrhosis+AKI

👏Creatinine underestimate renal dysfunction in CLD-Due to sarcopenia

journals.lww.com/cjasn/fulltext…

CJASN

Driving blues
creatinine shady
amorphous hues
windshield wiper
swimming pools
□ □ □ □ □ □ □

Here are my blood and urine tests from yesterday.

Lipids (cholesterol) and kidney function. High creatinine. I have been told I am to have a more sophisticated kidney test soon. Keep in mind I was at Stage 3a CKD 15 years ago.

Patient presents with shortness of breath and leg swelling. Neck examination showed this. Serum creatinine is high. What is your diagnosis?

#MedTwitter #MedEd
Dr Ihab Suliman. دكتور ايهاب فتحي سليمان Yusuke Kaneko

after 4 months on PrEP, more worried with my creatinine levels. but im totally fine 👌

Ready for refill.

How to mitigate time-dependent creatinine pattern in neonates to detect and quantify nephrotoxicity ? We suggest to go for a Z score approach (compare to reference values), and illustrated its feasibility with data on ibuprofen exposed cases ! Open access, link.springer.com/article/10.100…

bouta see what consistently juicing for two weeks does for my creatinine

عينة hemolysis مو معقول تسحب عينة أخرى💉 الا اذا كانت لاتنفع🚫
يجب ان تكون على معرفة بدرجة التحلل ومدى تأثيرها على بعض نتائج التحليل مثلا

🧪🔴 تأثير شديد
URIC ACID & POTASSIUM

🧪🟡 تأثير طفيف
لاكتات ديهيدروجينيز(LDH)

🧪🟢 لا تتأثر
اليوريا (BUN ) & الكرياتينين (Creatinine)

with some more closing rebuttal points and fun quotes

If you push low protein diet and follow serum creatinine, you are fooling yourself, and your patients

Just be a #Flozinator instead

#ISNWCN

My bloodwork came back & I’m malnourished (low creatinine & calcium) which explains why my hair has been falling out. Going to get some vitamin D supplements & just a reminder to yall that even if you aren’t extremely underweight, your body will still suffer the consequences🩷

RCT data compressed into one table
Key aspeccts
- RCTs do not report decrease in dialysis
- or lower GFR decline
- Diets were poorly tolerated (even in their carefully done RCTs!)

Be careful with creatinine changes from low protein diet (hence MDRD had nuclear GFR)
#ISNWCN

Does anyone know anyone with Charcot disease? I need help getting diagnosed. I have low serum creatinine and sometimes high urine creatinine. Have a KIF1B variant that’s never been seen before and head-to-toe numbness, distal/prox wasting. Feet are becoming a misery 😔

Lewis Schaffer 24hr creatinine clearance?

🛑Worried about rise in Creatinine after starting ACE/ARB⁉️

When to monitor ❓
How much rise is acceptable ❓
When to Half the dose ❓
When to withhold the drug ❓

#diabetes #FOAMed #MedEd #MedTwitter #MedX #NephX #Nephmadness

Urine Albumin-Creatinine Ratio Variability in People With Type 2 Diabetes: Clinical and Research Implications

buff.ly/3TQJF1H

Irene Blackberry Dianna Magliano OAM Peter van Wijngaarden Baker Institute #VisualAbstract

We all have a chemical waste product called creatinine in our bodies. A normal happy level in someone with 2 functioning kidneys is 90.

At the time of my transplant mine was 600.

Today my level is 92.

Gotta be fucking happy with the result 👍👍