r/nephrology

I know it may seem lazy to say, but renal path is so annoying. How pertinent is it for boards to recognize advanced patterns? We send the biopsy out and the pathologist reads and interprets it and we take their word for it which is fair. How in depth is the average Nephrologist’s knowledge about all the patterns of GNs etc?

I read about this on doximity. It is supposed to be a steroid sparing drug for use in anca vasculitis. Allegations include data manipulation in analysis of clinical trials. Seems more than reckless for such a big pharma company if true. Do any academics or industry professionals have insight on these allegations?

I wanted to know if anyone on here has done locums tenements for nephrology. Does the placement service provide malpractice? Do you have to purchase a tail for every assignment? What is the average rate for an assignment?

Hello!!

I am a pgy2 emergency medicine resident. I need to give an hour long lecture, specifically about metabolic acidosis… I’m not sure where to start preparing so I decided it would be best to seek advice from those much smarter than me. Anyone have any tips on how to structure this?

I was thinking I’d start off by talking about physiology (how acidosis affects structure and function of different organ systems), then move on to how to approach the acidosis patient in the ED (maybe a case?), then talk about how to read an abg, then talk about the specific subtypes of high anion gap annotation gap. I’d like to add tips and tricks for treatment and when to consult different services in the hospital etc. Then end with like 5 practice questions. Idk.. if anyone has any other suggestions I’d love that.

Thanks in advance!

Hi,
Wondering if you feel comfortable managing most kidney-related conditions or troubleshooting them? Or which conditions do you feel somewhat anxious while managing.
Also what resources do you recommend studying with during fellowship to build a very strong base?

I had swolen legs and ankles for a week that I noticed since my pants were tighter than usual. Then, foamy urine started and swelling got much worse over the weekend. Following week went to emergency and taken to acute medical unit and kept there for 48h. Several tests were carried out like urine, blood renal panel (several times), 24h urine collection. I was discharged after those test and told that my vitals are normal and wait for the biopsy for the type of glomerulonephritis. It all makes sense but swelling and creatinine has gotten worse and I am a bit worried. Has anyone experienced such things? Like losing kidney functions fast, sudden severe swelling... Is it the usual course for glomerulonephritis and I was told to wait for a week for the biopsy, is that usual case as well?

I am mostly worried that the high blood pressure and increased cloth chases. Had an instance that I woke up with difficulty breathing and now scared to be alone in my room (I live by myself in a foreign country).