1/ 🚨 📢 Tweetorial Alert !
👋Hey #NephTwitter, today let's discuss Thrombotic microangiopathy (TMA) in pregnancy from the recently published wonderful review in @KIReports
🌟 by
@ManuelUrra7 @RichardBurwick @CTeodosiu @anuja_javakireports.org/article/S2468-… 2A/ What is TMA?
It is a clinicopathological entity characterized by
👉Microangiopathic hemolytic anemia: Hgb< 10⁹ g/dl, LDH >1.5 X upper limit of normal, schistocytes +
👉Platelets <150*10/L
👉End organ damage: renal, cardiac and nervous system

1/ 🚨 📢Hey #NephTwitter, today we will discuss an RCT on #hemodialysis (HD) patients
👉Let’s begin with a poll: do cognitive and physical training programs improve the functional capacity in patients on HD? 2A/ 🔎Functional and cognitive impairment and frailty in patients on HD are highly prevalent
🔎They are strongly and independently associated with adverse health outcomes as evident in the following review @CJASN
pubmed.ncbi.nlm.nih.gov/27342598/

📢 #Tweetorial alert!
Dr Priti Meena, Nephrologist, AIIMS-Bhubaneswar, is here to share insights on the fascinating roles of SGLT2I and Anti-EPO receptor Ab in managing anaemia in diabetic kidney disease (DKD)
Let's dive in! 🧵⬇️
#DKD #Medtweetorial
#NephEducation 2/ It is well known that anemia in T2D and CKD pts is multifactorial🩺
Major causes are
🔷Deficiencies in iron and erythropoietin (EPO)
🔷 Hyporesponsiveness to EPO
​​ doi.org/10.3390/jcm101…

🚨#TWEETORIAL ALERT!🚨 New @KIReports #tweetorial #xtorial written by @sejalplakhani and @anjanagopal9 to discuss the Features of Postpartum Hemorrhage-Associated Thrombotic Microangiopathy (#TMA) and Role of Short-Term Complement Inhibition. kireports.org/article/S2468-… 27yo, pregnant woman, 33wks, presents with HTN, proteinuria (1.7 g/L), fetal distress & sFlt/PIGF-56 (<38). Undergoes C-section complicated by postpartum hemorrhage (#PPH), AKI,  ⬇️ plts, LDH & ⬇️haptoglobin. What would you choose as your next step in management?

1) 🚨Tweetorial Alert! 🚨
Hey #NephTwitter! Welcome to a 🆕#accredited #tweetorial brought to you by the collaboration of @ckd_ce & @KIReports. Earn 🆓CE/#CME by following this 🧵! FOLLOW US at @ckd_ce & at @KIReports for expert #MedEd in #kidneydisease. 2) Our returning faculty is Subashri @happiedoc (#nephrologist from Chennai 🇮🇳)
Our topic: Breast Cancer Screening, Incidence, and Mortality in Women Treated with Maintenance Dialysis: A Population-Based Cohort Study in Ontario 🇨🇦
#MedTwitter #nephtwitter @ISNkidneycare

📢📢Tweetorial Alert📢📢 1/14
What are the benefits of Sodium-Glucose Cotransporter-2 inhibitors (SGLT2i)? All of the above?
#Flozinators we know #flozins are great & are beneficial in CKD & CV disease, but do they really prevent kidney stones?
How do they work? Does it have anything to do with their effects on magnesium or uric acid? Does the presence of DM make a difference?

🚨Tweetorial Alert

🧵Join me in delving into the diagnostic challenges surrounding one of the 🧩enigmatic kidney diseases of our times-Chronic kidney disease of Unknown origin(CKDu)

kireports.org/article/S2468-… Which of the following is not a feature of CKDu?

✅IT OUT 👇
📢📢📢Tweetorial Alert (1/19)!
What is the most common complication of routine outpatient hemodialysis (HD) treatments? Hypotension is the most commonly reported complication of HD.
Intradialytic hypotension (IDH) occurs in up to 40% of treatments.
Variations in reporting due to multiple definitions of IDH.
kireports.org/article/S2468-…

🚨 Tweetorial Alert 🚨

T1. Diabetes mellitus is commonly encountered in our CKD clinics and so proper monitoring is paramount. We’ll discuss limitations of glucose monitoring in CKD…but first let’s start with a quiz! T2. Are CKD patients prone to hypoglycemia?

📢Tweetorial Alert📢

🔬CKD pathogenesis is unknown in 20-40% of cases.
🫘 Many of these patients may be listed for kidney transplants.
❓What is the risk of recurrent disease in a transplanted kidney if we have not determined the underlying etiology of CKD?
🧵1/11 Do you routinely get genetic testing on patients with an uncertain cause for their CKD?

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/…

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.

1/📢📢#tweetorial alert! Hey #NephTwitter ! #Medtwitter!
Let's do a short evidence based learning about central venous catheters (CVCs) based on @KIReports review article - “CVCs for Hemodialysis-Myth & Evidence”
Get ready to run down the catheter hole!🕳️
sciencedirect.com/science/articl… 2/ Poll: Why are tunneled HD-CVCs better than non-tunneled HD-CVCs?

1/ 📢📢#tweetorial alert# 📢📢
#nephtwitter #medtwitter
Poll: What are the complications of Renal biopsy?🔫 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/

1/ A story about anti-GBM disease for #ThrowbackThursday — starting with the initial case report by Dr. Ernest Goodpasture himself. pubmed.ncbi.nlm.nih.gov/19680020/ 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.

Check out @KIReports #perspectives series exploring the impact of #COVID19 in #Nephrology worldwide

@krithicism @NamrataYParikh @elliotktannor @acssjr @hellokidneyMD

👇👇
doi.org/10.1016/j.ekir…
doi.org/10.1016/j.ekir…
doi.org/10.1016/j.ekir…
doi.org/10.1016/j.ekir… Perpetual Lockdown: The state of COVID-19 and kidney disease in the Philippines

#COVID19 #Philippines #Nephrology @hellokidneyMD

doi.org/10.1016/j.ekir…

1/ We have all heard of monoclonal gammopathy of renal significance, but which conditions are considered as a manifestation of MGRS? 2/ A recent KI Reports paper gives a nice review of MGRS
kireports.org/article/S2468-…