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Janewit Wongboonsin, MD, MS Profile picture
Janewit Wongboonsin, MD, MS
@janewitwong
Renal fellow @BWHkidney @MGHkidneys |CMR @umnmedresidency| MS @PublicHealthUMN | #NSMC2021 | Interested in multi-omics & epidemiology
Jul 2, 2021 • 13 tweets • 5 min read
Into my last week of the clinical year @BWHKidney @MGHKidneys
I would like to summarize my top 10 clinical nephrology growth as a fellow
I am bolder and more decisive than my 3rd year resident self
What are your favorite renal pearls 🤩? 1/
🗜️ ddAVP clamp 🗜️
Time 0, patient with hypoNa 109, we have no other lab
Patient is demented, cannot provide history
Looks euvolemic…

ddAVP+3% clamp helps
buy time while figuring this out
manages hyponatremia very very well

See this article
doi.org/10.1053/j.ajkd…
Mar 25, 2021 • 19 tweets • 13 min read
1/ I often get asked about the presence of granular casts on the automated UA reported by the lab whether it is equivalent to seeing muddy brown casts.

❓Do you think granular casts can be used to diagnose ATN?

More to see in #NephMadness on #liquidbiopsy
@NSMCInternship 2/ Spin the urine! This is one of the maneuvers that I enjoy doing with residents the most as there is a lot to uncover.

I totally underestimated the power of this test. How many times have you spun the urine yourself before nephrology training?