1/ It’s #ThrowbackThursday time at @KIReports! In 1954, the first truly successful kidney transplant was performed.
2/ Richard Herrick (pictured on front left) was the recipient of the first successful kidney transplant and recieved a kidney from his twin brother Ronald Herrick (pictured on front right) cjasn.asnjournals.org/content/4/1/2/…
3/ These brothers were confirmed of being immunologically identical through demonstration that they did not reject each other’s skin grafts. pubmed.ncbi.nlm.nih.gov/15579498/
4/ On December 23, 1954, the transplant was performed, led by a team led by Joseph Murray, Hartwell Harrison, and Joseph Merrill performed this surgery. Richard Herrick lived for 8 years after the transplant.
5/ The courageous act of these brothers and the expertise of their medical team brought forth a new era of treatment for patients with chronic kidney disease.
1/ This week’s #ThrowbackThursday tweetorial is a quick reference to the Banff classification which traces its origin to one of the most beautiful places in North America.
2/ In 1991, the first conference was conducted in Banff Canada and included a multidisciplinary team. At this time there were considerable differences between pathologists for biopsy interpretation. A standardized approach to improve patient care was proposed.
2/ Bleeding can occur at 3 sites:
🚩Into the collecting system➡️ microscopic or gross hematuria ➡️ureteral obstruction
🚩Underneath the renal capsule ➡️ pressure tamponade & pain
🚩Into the perinephric space ➡️ hematoma formation pubmed.ncbi.nlm.nih.gov/10846435/
3/ Rarely, severe bleeding may occur due to puncture of : 🩸
📌renal artery,
📌aorta
📌venous collaterals ( in renal vein thrombosis)
2/ In late September 1918, Dr. Ernest Goodpasture admitted a patient to the hospital with what initially appeared to be a quote “typical attack of influenza.” He presented with a 3 day history of cough, dyspnea and fever to 103.0.
3/ He had no clinical evidence of pneumonia. His fever resolved and he was discharged home 3 days later. He felt ill after discharge, but returned to work. His cough persisted though, and weight loss and fatigue worsened.
3/ 3% of the general population >50 years old has MGUS and only a small percentage (1%) progress to malignancy such as myeloma or lymphoplasmacytic lymphoma. These patients are observed over time and no chemotherapy is given