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Aisha Shaikh Profile picture
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8 Apr, 10 tweets, 9 min read
💥Happening now: Dialysis vascular access emergencies at @nkf Meeting

Rapidly enlarging AV access pseudoaneurysms @bharvioza
Steal Syndrome @aurbanes
AV Access related malignancy @JeremyCraneMD
HD CVC related R atrial thrombus @SaadTheodore #NKFClinicals
Rapidly enlarging pseudoaneurysms by @bharvioza
Rapidly enlarging AV access pseudoaneurysms by @bharvioza
#NKFClinicals
AV access related Steal Syndrome by @aurbanes #NKFClinicals
AV access related malignancy in Post kidney transplant patients by @JeremyCraneMD
Angiosarcoma in disused AVF by @JeremyCraneMD #NKFClinicals
When to suspect malignancy in a disused AVF? By @JeremyCraneMD #NKFClinicals
HD catheter related right atrial thrombus - @SaadTheodore #NKFClinicals
HD catheter related right atrial thrombus @SaadTheodore #NKFClinicals
Management of HD catheter related right atrial thrombus @SaadTheodore #NKFClinicals

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More from @aishaikh

Aisha Shaikh Profile picture
12 Mar
💥‘Pseudohyperkalemia’ Tweetorial

⚡️Pseudohyperkalemia
⚡️Seasonal Pseudohyperkalemia
⚡️Reverse Pseudohyperkalemia

Let’s review these conditions
1/
#Onconephrology
#Hyperkalemia
⚡️An important point to remember is that 98% of the potassium (K) stores in the body are intracellular so even a small amount of K released from the cells can significantly affect the concentration of ‘measured’ extracellular potassium
2/
⚡️When blood is drawn to measure potassium, you are measuring ‘extracellular’ potassium concentration and NOT intracellular potassium concentration
3/
Read 23 tweets
Aisha Shaikh Profile picture
4 Mar
💥 Tweetorial on ‘Cryoglobulinemia’

⚡️What are Cryoglobulins?

⚡️When should a clinician suspect Cryoglobulinemia & Cryoglobulinemia vasculitis?

⚡️How to establish the diagnosis?

⚡️Significance of Rheumatoid Factor
1/
 @GlomCon
#Onconephrology
⚡️Cryoglobulins are immunoglobulins that reversibly precipitate in the serum at <37 degree C & re-dissolve at >37 degree C

⚡️The fundamental mechanism behind Cryoglobulin formation is aberrant antibody (Ab) production by B cells & B cell proliferation

2/
⚡️Hence diseases that interfere with B cell function can cause Cryoglobulinemia such as:

☄️B cell lymphoproliferative disorders
☄️Chronic infections such as Hepatitis C virus (HCV)
☄️Autoimmune diseases

3/
Read 23 tweets
Aisha Shaikh Profile picture
17 Feb
⚡️Clinical Case of Acute pain & redness over AVF following ligation of the AVF - by Dr. K.C. Janga @ASDINNews

#ASDIN2021
1/
⚡️40 yr. female had a successful kidney transplant 14 months ago
-She presents with enlarging aneurysm of AVF
-On exam AVF was not collapsible on arm elevation test
-As AVF was not being used for dialysis, minimally invasive ligation of AVF was done👇🏽
2/
⚡️5 days later she presented with redness, swelling and pain over the AVF site
-No flow was present in the AVF
-Patient was managed conservatively without the use of antibiotics and her symptoms resolved in 10 days👇🏽
3/
Read 5 tweets
Aisha Shaikh Profile picture
17 Feb
💥 An interesting case of Right hand pain in a patient with ipsilateral Gracz AVF - by @AdinaVoiculescu @dialysisaccess1 @ASDINNews

⚡️Live Clinical Case discussion #ASDIN2021
1/
⚡️42 year old female on hemodialysis has right hand pain, hand discoloration & swelling
- She has an ipsilateral AVF👇🏽
2/
⚡️What would you do next?👇🏽
3/
Read 9 tweets
Aisha Shaikh Profile picture
17 Feb
💥 Another interesting clinical case of “Dizziness following angioplasty of the right forearm AVF in a hemodialysis patient” - by @AdinaVoiculescu @ASDINNews @dialysisaccess1

⚡️Live Clinical Case #ASDIN2021
1/
⚡️81 year old hemodialysis patient with a right radial cephalic AVF (created recently) and a left brachial cephalic AVF created a year ago and abandoned due to low AVF flow (but the left AVF was not ligated)👇🏽
2/
⚡️Patient presented with signs of poor inflow in the right radial cephalic AVF and a Fistulogram confirmed inflow stenosis👇🏽
-AVF angioplasty was performed and improvement in AVF flow was documented following inflow stenosis angioplasty👇🏽
3/
Read 9 tweets
Aisha Shaikh Profile picture
17 Feb
💥”Alternative Techniques for Perm Cath Insertion” - by @NMawlaMD @ASDINNews

⚡️Clinical Case Discussion #ASDIN2021

☄️Cervical plexus block
☄️Single incision method
1/
⚡️Cervical Plexus Block technique for perm cath insertion using 5-10 cc of lidocaine and a standard needle👇🏽
⚡️For more information on this technique go to: nysora.com
2/
⚡️Next is the Single Incision Technique for perm cath insertion👇🏽
3/
Read 6 tweets

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