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ERA - European Renal Association Profile picture
@ERAkidney
Jun 8, 2020 • 7 tweets • 6 min read • Read on X
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💎Electrolytes and Acid-base for the future @HDiniz_ #eraedta20

2⃣ Urinary electrolytes in the clinic: a still unexploited instrument by @GianniCapasso4 Image
⚠️Urinary electrolytes are useful! #eraedta20

➡️ AKI and CKD
➡️ Tubulopathies
➡️ Nephrolithiasis
➡️ OncoNephrology Image
↪️AKI and CKD #eraedta20

⚠️Urinary 'lytes can be used not only for AKI urinary indices but can also can be a marker of CKD progression! Image
↪️ Rare diseases #eraedta20

✅ Urine electrolytes can be used to diagnose and differentiate Bartter and Gitelman's syndrome! ImageImageImageImage
↪️ Kidney stones #eraedta20

⚠️Urinary electrolytes are an important step in the workup of nephrolithiasis ImageImageImage
↪️ Onconephrology #eraedta20

⚡️Urinary 'lytes are a marker of kidney disease in Tumor Lysis Syndrome
🦴 The detection of phosphaturia is critical for the diagnosis of Tumor-induced Osteomalacia, a paraneoplastic syndrome caused by ectopic secretion of #FGF23 ImageImageImageImage
Concluding remarks #eraedta20

➡️ Urinary electrolytes are useful diagnostic tools
➡️ Urinary electrolytes use should be more widespread
➡️ Onconephrology can be an area with increasing interest for their application Image

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More from @ERAkidney

ERA - European Renal Association Profile picture
May 24
🧵🚨 Thread alert 🚨 🧵

1/ Let's dive into today's session : “Optimising renal replacement in the elderly” 🫘🧓

With a great panel of experts :
🗣️ @EdwinaBrown_PD
🗣️ @jirotmans
🗣️ @pepinmarion1

Tweets by #ERA24 #SoMe Team @FirketLouisImage
2/ Let’s start with @EdwinaBrown_PD , also president of @ISPD1 , who gave us an amazing talk about how to choose the best RRT option in the elderly patients and especially how (assisted-)PD could be a great option in this population. Image
3/ She first recalled that old age is a conundrum with numerous comorbidities and geriatric syndromes that need to be taken into account in the case of end-stage CKD. Image
Read 24 tweets
ERA - European Renal Association Profile picture
Dec 20, 2023
Did you miss the latest e-seminar about ADTKD?

Check out the highlights and the following tweetorial to learn how to approach this disease.

Speaker: @ericolinger1
Panel: John Sayer, Jan Halbritter and @ecorneclegall

@ERAkidney @EuRefNetwork

Image
Image
Image
2/When to suspect a monogenic tubulointerstitial kidney disease?
Ø If family history +
Ø Exclude secondary causes
Ø Do urinalysis, imaging and then genetics Image
3/Mostly a diagnosis of exclusion

Diagnostic criteria from @KDIGO 👇🏻 👇🏻 👇🏻
Ø Family history important but definitive by genetics
Ø Biopsy does not help in diagnosis Image
Read 18 tweets
ERA - European Renal Association Profile picture
Jun 5, 2021
Electrolytes and urolithiasis

Calcium and magnesium disorders
Prof Lucile Figueres @LucileFigueres

#eraedta21 Image
Calcium and magnesium disorders are the job of every nephrologist.

#eraedta21 ImageImage
Ca and Mg also important post transplant.

#eraedta21 Image
Read 12 tweets
ERA - European Renal Association Profile picture
Apr 26, 2021
💥Membranous Nephropathy (MN); New antigens, new disease?
#tweetorialERA #membranous #nephtwitter #FOAMed #tweetorial Image
MN occurs due to immune complex deposition in the subepithelial GBM. @SethiRenalPath reckons classification of MN should be made based on the antigen, much like the nomenclature of complement activated GN following better understanding of the role of complement dysregulation.
☄️Hot off the press review suggesting we should consider MN as a pattern of injury. @SethiRenalPath @CKJsocial

🔍Let's take a look at the discovery of antigens in MN.

academic.oup.com/ckj/advance-ar…
Read 14 tweets
ERA - European Renal Association Profile picture
Apr 12, 2021
⏳for another #tweetorialERA 🥳 @HDiniz_

➡️Native kidney biopsy plays a crucial role in the diagnosis of many conditions and, while generally safe, can be associated with bleeding complications.

Would you biopsy a patient with aspirin exposure?🤔
Bleeding complication rates are low, with less than 2% of patients requiring transfusion and less than 0.5% requiring an intervention to control the bleeding.

⚠️These complication rates are higher in hospitalized patients and those with AKI.

cjasn.asnjournals.org/content/15/11/…
But not every patient has the same risk of bleeding 🩸

Risk factors include anemia, thrombocytopenia, frailty index, obesity, comorbidities, and kidney function.

cjasn.asnjournals.org/content/15/11/…
Read 15 tweets
ERA - European Renal Association Profile picture
Feb 22, 2021
Time for a tweetorial on renal MRI! MRI is used to look at structure, but advanced sequences can measure function too. Multiple sequences in 1 session = multiparametric MRI = loads of data!

Could be used to triage risk in CKD, reduce invasive tests, or for translational research
An imaging biomarker is already being used in clinical practice. For which condition?
It's ADPKD! 🙌🙌🙌

Total kidney volume is approved by the FDA to identify patients at high risk of progressive renal impairment to treat with tolvaptan. TKV is best measured by kidney MRI and evaluated using the Mayo classification Image
Read 9 tweets

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