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Jithu Kurian🇮🇳 Profile picture
@Jithukurian6
Apr 28, 2023 • 6 tweets • 3 min read • Read on X
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What i learnt today at #ApexPathshala second day of amazing talks and interactions

Immunosuppressive protocol by prof Dr S k Agarwal and Prof Dr. Jeremy chapman

🔥 the ⏰ timeline of drug development ImageImage
🔥 few ♥️ cardinal points of immunosuppression Image
🔥 risk stratification of patients in renal transplant at AIIMS 🏥

🔥when do you call a patient immunologically high risk ? 🔴 ImageImage
🔥 IL2 receptor blocker versus No induction

🔥 ATG versus Basiliximab ImageImage
🔥 different immunosuppressive protocols Image
🔥 very crucial concluding points Image

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More from @Jithukurian6

Jithu Kurian🇮🇳 Profile picture
Dec 23, 2023
🔥 Would like to share few slides of my talk on FIBRILLARY GLOMERULONEPHRITIS at ISNCON23 in Kolkata @isn_india @isncon23 @GlomCon #nephtwitter @JasmineNephro @nephromythri @drshyambansal @VijayKher8 @AnandhUrmila

🔥 🧵 long thread alert but it’s going to be equally colourful 💚💛💜 and black and white 🖤Image
Image
✅ its a rare disease : less than 1 % of all biopsies

✅ Proteinuria , Haematuria and Renal dysfunction are the triad 🔺

✅ 🌗 half end up in ESRD Image
✅ Fibrillary GN teaches us how to study a rare disease : Multi-institutional cohorts

✅ average creatinine : 2.7 mg/ dl

✅ average proteinuria : 6.5 gram/ day

✅ Haematuria seen in 90 % patients

✅ Autoimmune disease, Hepatitis C are associations Image
Image
Read 23 tweets
Jithu Kurian🇮🇳 Profile picture
Dec 16, 2023
❌ I thought frailty was only for geriatricians .

Dory segev says a big NO to that

✅Frailty : state of decreased physiological reserve

✅ it’s both physical and cognitive

✅ we don’t measure but we need to

✅one more risk predictor for outcome

#isncon23 @arvindcanchi @SayaliBThakare @Kavitasv20 @BeheraVineetImage
🔥 how do you measure FRAILTY 📏 Image
🔥 how does frailty work to cause the damage ? Image
Read 6 tweets
Jithu Kurian🇮🇳 Profile picture
Sep 23, 2023
🔥Patient started on peritoneal dialysis has decreased ultrafiltration

😩worsening breathing difficulty

🩻 showed right sided pleural effusion

⁉️what’s the diagnosis and how do you approach? #ispd23 @VinBhargava @happiedoc
Image
Image
🔥 isotope peritoneography Image
🔥 CT peritoneography transverse , Sagitta and coronal view Image
Read 8 tweets
Jithu Kurian🇮🇳 Profile picture
Sep 23, 2023
Amazing slides and presentation on exit site infection in PD patient by @BeheraVineet at #ispd23 @VinBhargava @happiedoc @VinBhargava @AnuragGangaram

📍How do you define exit site infection ?
🟡Purulent discharge is important Image
📍 how do you define tunnel infection ? Image
📍 what are the microorganisms causing ?
📍 risk factors of exit site infection ?
Image
Image
Read 11 tweets
Jithu Kurian🇮🇳 Profile picture
Jul 8, 2023
🔥Dialysis in elderly , crisp talk by @SreejithDr at @AVATAROrg

🔥what ate the outcomes of HD in elderly ?
🔥 why poor outcomes in elderly ?

🔥 how are elderly different ?
🔥 what are the factors you look at an elderly ?

🔴 the risk of mortality
🔴 if risk of mortality is low then look 🟠 for frailty
🔴 the risk of renal failure progression

👨‍⚖️ shared decision making
Read 6 tweets
Jithu Kurian🇮🇳 Profile picture
Jun 14, 2023
🔥 Let’s discuss an interesting case . Already discussed in #ECNeph . Trying to consolidate it.

🏥 I was called in for a nephrology consult for a patient admitted under pulmonology 🫁

🩸 Microscopic hematuria ++ Image
🧠 What do we think in a patient with hemoptysis? Image
🫘 The nephrologist brain in me thought it narrower. The first hit Image
Read 25 tweets

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