Discover and read the best of Twitter Threads about #Renal
Most recents (17)
Are "diet" soft drinks healthy?
1. People are opting for diet soft drinks in place of regular soft drinks, assuming that they are free of sugar, contain zero calories and hence are healthier & safer. But research shows evidence to the contrary.
#MedTwitter #HealthyFood
1. People are opting for diet soft drinks in place of regular soft drinks, assuming that they are free of sugar, contain zero calories and hence are healthier & safer. But research shows evidence to the contrary.
#MedTwitter #HealthyFood
2a. In two studies conducted in US & Europe, individuals who consumed diet soft drinks had higher prevalence of metabolic syndrome than non-consumers.
Diet soft drink intake positively correlated with waist circumference and fasting plasma glucose in both studies.
Diet soft drink intake positively correlated with waist circumference and fasting plasma glucose in both studies.
2b.
Reference: doi.org/10.3390/nu7053…
Reference: doi.org/10.3390/nu7053…
1a) Welcome to a new #accredited #tweetorial on the management of aFXa-DOAC-associated #hemorrhage and specifically the role of coag laboratory testing in these challenging cases. 
1b) Our expert author is #pharmacist Craig Beavers, PharmD @beaverspharmd CV Clinical Pharmacy Specialist @UK_COP, and Immediate Past Chair of the @ACCinTouch #ACCCVT Section
2) This 🆓program is accredited for 0.5h CE/#CME for #physicians #physicianassociates #nurses #nurespractitioners #pharmacists and is supported by a grant from AstraZeneca. See statement of accreditation and faculty disclosures at cardiometabolic-ce.com/disclosures/.
Empagliflozin is now my go-to SGLT2i for pts with #diabetes and #CKD or #CHF, over cana or dapa or ertu.
Why?
A: EMPA-KIDNEY: nejm.org/doi/full/10.10…
and EMPEROR-Reduced and EMPEROR-Preserved
1/
Why?
A: EMPA-KIDNEY: nejm.org/doi/full/10.10…
and EMPEROR-Reduced and EMPEROR-Preserved
1/
EMPA-KIDNEY is unique because it enrolled GFR 20-45 *without* proteinuria whereas others (DAPA CKD, CANVAS) enrolled pts with CKD+proteinuria, though DAPA-CKD conducted a subgroup analysis for UACR < and > 1000
The primary outcome was a composite of progression of #kidney disease (defined as #ESRD, a sustained decrease in eGFR to <10, a sustained decrease in eGFR of ≥40% from baseline, or death
from #renal causes) or death from #cardiovascular causes
from #renal causes) or death from #cardiovascular causes
1) Welcome to this new #accredited #tweetorial on “Strategies to Apply Current Clinical Trial Data for SGLT2i to Reduce the Progression of CKD,” authored by our ⭐️tweetorialist Edgar V. Lerma 🇵🇭 @edgarvlermamd
2) This program is #accredited for CE/#CME #physicians #physicianassociates #nurses #pharmacists #nursepractitioners & is supported by an educational grant from the Boehringer Ingelheim Pharmaceuticals Inc and Eli Lilly Company. It is intended for healthcare professionals.
3) Faculty disclosures and statement of accreditation are provided at ckd-ce.com/disclosures/. Please FOLLOW @ckd_ce (& @cardiomet_CE!) so you don't miss ANY of our unique serialized #tweetorials, always 🆓, always from expert authors! Prior programs at ckd-ce.com/category/dkd/ .
1) Welcome to a new #accredited (0.75h CE/#CME) #tweetorial on challenging case presentations for pts with #cardiometabolic disease, #CaReMe #FOAMed.
Our expert author is Claire Davies. @claireyrivs is a specialist diabetes & endocrinology #pharmacist working in Gateshead in 🇬🇧.
Our expert author is Claire Davies. @claireyrivs is a specialist diabetes & endocrinology #pharmacist working in Gateshead in 🇬🇧.
2) She is a member of UKCPA Diabetes & Endocrinology committee @UKCPADiabetes & works across #diabetes, #endocrinology, & emergency/acute care in Secondary Care. She is currently involved in development of regional guidelines & education to support medicines optimisation for PLWD
3a) This program is intended for healthcare professionals and is supported by an educational grant from Boehringer Ingelheim Pharmaceuticals Inc. and Eli Lilly Company.
1/ Hi #NephTwitter #Renal #MedTwitter @ASPNeph radiology webinar this month was Vesicoureteral reflux #VUR and its management.
Let's get going with a poll!
What percentage of children with febrile UTI may end up having VUR?
Let's get going with a poll!
What percentage of children with febrile UTI may end up having VUR?
2/ Answer: up to 30%
This may be an underestimate since many children don't get tested.
[PMID: 9743033] pubmed.ncbi.nlm.nih.gov/9743033/
This may be an underestimate since many children don't get tested.
[PMID: 9743033] pubmed.ncbi.nlm.nih.gov/9743033/
3/ Risk factors for VUR:
⚡️Bowel and bladder dysfunction
⚡️Abnormal urinary tract anatomy
⚡️Younger children and infants
⚡️Girls affected >> boys
⚡️Family history: sibling with VUR ➡️ 25% recurrence risk
Read more 👇
PMID: pubmed.ncbi.nlm.nih.gov/33869117
⚡️Bowel and bladder dysfunction
⚡️Abnormal urinary tract anatomy
⚡️Younger children and infants
⚡️Girls affected >> boys
⚡️Family history: sibling with VUR ➡️ 25% recurrence risk
Read more 👇
PMID: pubmed.ncbi.nlm.nih.gov/33869117
A good one for this weeks #FluorideFriday. Good find!
#TheyDontKnowAndTheyDoItAnyway. -|- "Conclusions
- Water #fluoridation results in higher plasma #fluoride levels in those with lower #renal function. How routine water #fluoridation may affect the many millions of Americans with Chronic #Kidney Disease, ..."
- Water #fluoridation results in higher plasma #fluoride levels in those with lower #renal function. How routine water #fluoridation may affect the many millions of Americans with Chronic #Kidney Disease, ..."
" ... who are particularly susceptible to heavy metal and mineral accumulation, needs to be further investigated."
@JosephHabibi_MD @MondayNightIBD @abbvie @JanssenUS @ferring @TakedaPharma @GI_Pearls @ARodriguezDO @dishasharma1994 @noorannemd @galagodoyb @KrystalMillsMD @yaransarkis @MazenAlmasry4 @MaryamK_Ibrahim @JBapaye @priya_abhy @CatherineWangMD @CCYANetwork @DushDahiya @Apichatka @SanjeevaniTomar @FnuVikash @EHolzwanger @RazzakFarah @ShimaghavimiMD @ZarrarKhanMD @Timothy_A_Zaki @mahirxqureshi @JassimranSingh9 @NickLe64 @TrieuMD @MahamHayatMD @ASyedMD @SheharyarW @DrFiyin @aileenbui @Wissam_Ghusn @AdvaniRashmiMD @DVinsard @WilechanskyMD @NSeth2021 @nelson1987 @ReezwanaCMD @AimenKhanMD @DrewfordMD @JHaydek @LDhaliwalMD @shaina_sekhri @IrisWangMD 7/ #Oral Pathologies
👄Oral lesions ⬆️> in CD patients, in children.
🫤Aphthous stomatitis and🦷periodontitis usually parallel intestinal disease activity
🧑⚕️Annual dentist checkups have been recommended.
👄Oral lesions ⬆️> in CD patients, in children.
🫤Aphthous stomatitis and🦷periodontitis usually parallel intestinal disease activity
🧑⚕️Annual dentist checkups have been recommended.
@JosephHabibi_MD @MondayNightIBD @abbvie @JanssenUS @ferring @TakedaPharma @GI_Pearls @ARodriguezDO @dishasharma1994 @noorannemd @galagodoyb @KrystalMillsMD @yaransarkis @MazenAlmasry4 @MaryamK_Ibrahim @JBapaye @priya_abhy @CatherineWangMD @CCYANetwork @DushDahiya @Apichatka @SanjeevaniTomar @FnuVikash @EHolzwanger @RazzakFarah @ShimaghavimiMD @ZarrarKhanMD @Timothy_A_Zaki @mahirxqureshi @JassimranSingh9 @NickLe64 @TrieuMD @MahamHayatMD @ASyedMD @SheharyarW @DrFiyin @aileenbui @Wissam_Ghusn @AdvaniRashmiMD @DVinsard @WilechanskyMD @NSeth2021 @nelson1987 @ReezwanaCMD @AimenKhanMD @DrewfordMD @JHaydek @LDhaliwalMD @shaina_sekhri @IrisWangMD 8/ A rare oral EIM of CD is the #OrofacialGranulomatosis or Melkersson-Rosenthal syndrome.
🔸 Swelling of lips +/- oral mucosa
🔸 Young males
🔸 Age 14 – 20 years
🔸 Bx: granulomas +
🔸 Usually respond to systemic IS Rx
🔸 Swelling of lips +/- oral mucosa
🔸 Young males
🔸 Age 14 – 20 years
🔸 Bx: granulomas +
🔸 Usually respond to systemic IS Rx
@JosephHabibi_MD @MondayNightIBD @abbvie @JanssenUS @ferring @TakedaPharma @GI_Pearls @ARodriguezDO @dishasharma1994 @noorannemd @galagodoyb @KrystalMillsMD @yaransarkis @MazenAlmasry4 @MaryamK_Ibrahim @JBapaye @priya_abhy @CatherineWangMD @CCYANetwork @DushDahiya @Apichatka @SanjeevaniTomar @FnuVikash @EHolzwanger @RazzakFarah @ShimaghavimiMD @ZarrarKhanMD @Timothy_A_Zaki @mahirxqureshi @JassimranSingh9 @NickLe64 @TrieuMD @MahamHayatMD @ASyedMD @SheharyarW @DrFiyin @aileenbui @Wissam_Ghusn @AdvaniRashmiMD @DVinsard @WilechanskyMD @NSeth2021 @nelson1987 @ReezwanaCMD @AimenKhanMD @DrewfordMD @JHaydek @LDhaliwalMD @shaina_sekhri @IrisWangMD 9/ Low bone density
💫IBD pts are 40% more likely to experience a fracture than the regular population.
💫RF:steroids, malabsorption of calcium & vitamin D, SB Crohns, milk-restriction in diet, lack of physical activity, smoking, effects of proinflammatory cytokines such as TNF.
💫IBD pts are 40% more likely to experience a fracture than the regular population.
💫RF:steroids, malabsorption of calcium & vitamin D, SB Crohns, milk-restriction in diet, lack of physical activity, smoking, effects of proinflammatory cytokines such as TNF.
1) Welcome to a new #accredited #tweetorial, Prevention and Management of Heart Failure in T2 Diabetes: The Diabetologist’s Perspective! Our expert author is Melanie J Davies CBE FMedSci @profmjdavies, Prof of Diabetes Medicine, U Leicester, Leicester Diabetes Unit @LDC_Tweets
2) This program is intended for #healthcare professionals and is accredited by @academiccme for 0.75h CE/#CME credit for #physicians #physicianassistants #nurses #nursepractitioners #pharmacists 🇺🇸🇨🇦🇬🇧🇪🇺. FOLLOW US for #cardiometabolic education from expert authors!
3) @cardiomet_CE is supported by educational grants from AstraZeneca, Bayer, Boehringer Ingelheim Pharmaceuticals Inc. and Eli Lilly Company, and Chiesi. See archived programs still available for credit at cardiometabolic-ce.com. Disclosures at cardiometabolic-ce.com/disclosures/
1) Welcome to a new #accredited #tweetorial on Cardiorenal Disease in T2D & the Impact of Blocking the MR in Patients w/DKD, another CE/#CME program by one of the @GoggleDocs, this time our friend @AmarPut, Diabetes & Endocrine Consultant in the West Midlands 🇬🇧. #CaReMe #FOAMed
2) This program is supported by an educational grant from Bayer & is intended for #healthcare providers. Author disclosures can be found at ckd-ce.com/disclosures/. Prior programs, still available for CE/#CME credit, are at ckd-ce.com. CE/#CME credit 🇬🇧🇪🇺🇨🇦🇺🇸
3) So first – the ‘triple threat’ . . . We know of the link between the 🫀 and the kidneys and the ‘#cardiorenal’ syndrome, but what about in the setting of #diabetes?
Join us tomorrow for the launch of a new accredited tweetorial – a case-based program on the assessment and management of patients with IgA #nephropathy (#IgAN). Free CE/#CME for #physicians, #nurses, #pharmacists! Expert author none other than @IgAN_JBarratt. FOLLOW US . . .
. . . and tell your colleagues to join you here on @ckd_ce, your ONLY source for accredited #tweetorials in the #CKD space! #nephtwitter #nephjc @nephondemand @Nephro_Sparks @edgarvlermamd @ChristosArgyrop @goKDIGO @nicklimd @CKJsocial @ERAkidney @kidney_boy @kidneypathology
1) Welcome to our accredited #tweetorial on optimal contemporary mgt of #IgAN. Earn 0.5h CME/CE credit #physicians #nurses #nursepractitioners #physicianassistants by following this thread. I am @IgAN_JBarratt. @MedTweetorials #nephtwitter #nephjc #FOAMed #MedEd
1) Welcome to a new #accredited #tweetorial on managing #VTE at the extremes of weight & renal function. Free CE/#CME credit for following along with expert author @AryaRoopen from King’s Thrombosis Centre at King's College Hospital in London! Only the best for our learners!
2) When we think about "special populations" in #VTE, we think weight, age, and #cancer status. @aakonc already addressed the last of those (earn credit still at cardiometabolic-ce.com/antithrombotic…). Learn the rest here! Hello to @ProfMakris @bhwords @MiddeldorpS @fniainle @AliTaherMD
3) This educational program is intended for health care providers & is supported by a grant from Bristol Myers Squibb & its Alliance partner Pfizer, Inc. Faculty disclosures at cardiometabolic-ce.com/disclosures/. Credit for #physicians #physicianassociates #nurses #NPs #pharmacists
(1) Welcome to this #accredited #tweetorial, on recent & emerging data on finerenone, a non-steroidal mineralocorticoid receptor antagonist. We’ll discuss what it is, what evidence supports its use, & where it might fit into future #renal guidelines. I am @drkevinfernando.
(2) This program is supported by an educational grant from Bayer and is intended for #healthcare providers. Author disclosures can be found at ckd-ce.com/disclosures/. Prior programs, still available for CE/#CME credit, are at ckd-ce.com.
(3) Let's start with a knowledge check.
The following therapeutic options have demonstrated a significant reduction in the progression of both #CKD and #cardiovascular mortality in people living with #T2D:
1. ACEi's & ARBs
2. Spironolactone
3. SGLT2 inhibitors
4. Finerenone
The following therapeutic options have demonstrated a significant reduction in the progression of both #CKD and #cardiovascular mortality in people living with #T2D:
1. ACEi's & ARBs
2. Spironolactone
3. SGLT2 inhibitors
4. Finerenone
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Emergencymedicine #thrombosis researcher @md_pollack will be discussing safe, effective management of selected patients with venous thromboembolism (#VTE) from the #emergencydepartment.
It used to be SOOO much more complicated, but since we entered the era of the #DOACs, #lifeisgood! #Physicians #nurses #pharamcists all work together to make it happen, and all can earn CE/#CME here! @AlexSpyropoul @ScottKaatz @RenatoDLopes1 @GenoMerli @aakonc @vic_tapson
1) Welcome to a #tweetorial on the safe and effective management of acute venous #thromboembolism (#VTE) directly from the #emergencydepartment. This program is accredited for 0.50 credits for #physicians #nurses #pharmacists by @academiccme! I am @md_pollack.
Hilo de cambios fisiológicos en el embarazo
#Renal
Aumento de volumen renal en 30% principalmente por un aumento de volumen vascular e intersticial renal.
El flujo plasmático renal aumenta hasta en un 80% a las 12 semanas de gestación, pero disminuye para el tercer trimestre
#Renal
Aumento de volumen renal en 30% principalmente por un aumento de volumen vascular e intersticial renal.
El flujo plasmático renal aumenta hasta en un 80% a las 12 semanas de gestación, pero disminuye para el tercer trimestre
La Tasa de Filtrado Glomerular aumenta también aproximadamente un 50% más que en el estado no embarazada al comienzo del segundo trimestre y luego disminuye ligeramente hacia el término.
Creatinina sérica y el nitrógeno ureico en sangre (BUN) disminuyen durante el embarazo.
Creatinina sérica y el nitrógeno ureico en sangre (BUN) disminuyen durante el embarazo.
En un estudio retrospectivo la concentración media de creatinina disminuyó a partir de las 4 SDG y posteriormente se estabilizó, para el 3er trimestre casi regresó a los niveles pregestacionales.
creatinina sérica de 0,8 mg / dL (70,7 micromol / L) debe estudiarse
creatinina sérica de 0,8 mg / dL (70,7 micromol / L) debe estudiarse
Starting a series on clinical Pearls I am gathering in #COVID19 patients based on experiences of many experts
Will add as we go along
Feel free to add your own observations/experiences
#covidclinicalpearls /1
Will add as we go along
Feel free to add your own observations/experiences
#covidclinicalpearls /1
Anosmia is likely the most specific #COVID19 related symptom
30% of patients have anosmia as their 1st symptom
#covidclinicalpearls /2
30% of patients have anosmia as their 1st symptom
#covidclinicalpearls /2
Around 90% of patients have fever.
50% maybe afebrile at the time of presentation
Fever tends to be very resistant to routine measures in hospitalized patients
There is no consensus that NSAIDs are to be avoided in #COVID2019 patients
#covidclinicalpearls /3
50% maybe afebrile at the time of presentation
Fever tends to be very resistant to routine measures in hospitalized patients
There is no consensus that NSAIDs are to be avoided in #COVID2019 patients
#covidclinicalpearls /3
Today is #WorldKidneyDay, so here is a thread about living on #dialysis & #OrganDonation. My name is Belinda Otas. I’m #African. I’m #Nigerian. I'm #Benin. I’m #British & I’m #Black. Beyond the nationalities or passports with my name, I also believe in our shared humanity.
I was 16, when I was diagnosed with End Stage Renal Failure (ESRF.) I had no idea what was happening to me because at the time, it made no sense. However, I remember the pain of that period like noonday. I lived on dialysis until i was 22. #dialysis #OrganDonation #renalhealth
It took over my teenage years. I don’t remember having much of a life as a teenager because dialysis was 3x a week & every session was 4hrs. Add the time it takes to recover from being exhausted by the process, my day was pretty much over. #dialysis #OrganDonation #renalhealth
