Completely packed urine microscopy session with @jrseltzer.bsky.social @juancarlosqvelez.bsky.social at @kidneycon.bsky.social #UrineMicroscopyAcademy

Live urine microscopy slide preparation session at @kidneycon.bsky.social #UrineMicroscopyWorkShop @juancarlosqvelez.bsky.social @jrseltzer.bsky.social

@juancarlosqvelez.bsky.social @jrseltzer.bsky.social @kidneycon.bsky.social #UrineMicroscopy

Excited doing Urine Microscopy work shop with enthusiastic group at @KIDNEYcon with @jrseltzer and @VelezNephHepato

Roger Rodby highlighting PO4 Reabsorption and TumorInduced osteomalacia causing elevated Po4wasting

Phenomenal talk on Electrolyte abnormalities, Mg and PO4 by one of the gurus in the field @RogerRodby @kidneycon.bsky.social #KidneyCon2025

Happy to share our case based onconephrology web series @isnkidneycare.bsky.social Expand your expertise in complex cancer-related kidney disease cases   - International Society of Nephrology @sabinekaram.bsky.social t.co/J8eU9klFnc

Glucarpidase receipt was also associated with a lower adjusted odds of grade ≥2 transaminitis and grade ≥2 neutropenia. buff.ly/a88VOV9 #hemesky #clincialtrialsandobservations

We are getting closer and closer to @kidneycon.bsky.social 2025! Top notch speakers, exciting topics. A couple of outstanding workshops to highlight today: Home Dialysis and Comparative Physiology, yes, for the #NephMadness Animal Region 🦎 lovers and Channel Your Enthusiasm podcast listeners 🎙️

Happy to share our recent publication on “Recovery from acute kidney injury treated with dialysis in patients with multiple myeloma treated with proteasome inhibitors” @juancarlosqvelez.bsky.social #NDT #OxfordPublications #OncoNephrology academic.oup.com/ndt/advance-...

Etiology of AKI in cirrhosis #Nephpearls #RPA2025 🎰 #NephSky 👉🏼 pubmed.ncbi.nlm.nih.gov/38070000/

For those interested in glomerular stuff, you gotta see our line-up for the Glom Dis session at KidneyCon! And they will attack the topics that make all of us scratch our heads. Register ASAP, May 1-3 #KidneyCon 2025 @isgd.bsky.social @glomcon.org @kidneycon.bsky.social kidneycon.org

Great opportunities to deepen the knowledge on urine microscopy techniques and it’s clinical utility 🌟Come join us for a hands on work shop with experts in the field at @kidneycon.bsky.social, May 1-3 2025 @juancarlosqvelez.bsky.social @jrseltzer.bsky.social kidneycon.org/registration

Interested in learning more about the art of microscopic examination of the urinary sediment and its clinical applications? @jrseltzer.bsky.social @swethakanduri.bsky.social and I will be running a Hands-On Workshop at KidneyCon this year. Come join us! @kidneycon.bsky.social May 1-3. Register ASAP

Cystinuria and nephrolithiasis. #UrinarySediment #UrineMicroscopy #Crystalluria

Airport bound ✈️. Looking forward to this 💪💪 #hepatorenal #renalfellows

AKI in patients with liver cirrhosis ca. 2022 from @juancarlosqvelez.bsky.social @swethakanduri.bsky.social #Nephpearls #NephSky 👉🏼 pubmed.ncbi.nlm.nih.gov/35902128/

Fantastic. Thanks for sharing. Here for more on the mechanisms of hydrANCAzine bsky.app/profile/juan... @hswapnil.medsky.social @amyaimei.bsky.social

With the massive use of GLP-1As worldwide, we’ll soon know if this was an extremely rare isolated phenomenon or something that others may also encounter

Happy to share our publication on a case of Minimal Change Podocytopathy with coexisting Thin Basement Membrane following exposure to Semaglutide @juancarlosqvelez.bsky.social karger.com/gdz/article/...

Wrapping up a great session “Looking into the Crystal Ball-Where will we be 5 years from now with amazing speaker panel. Had fun Co-Charing the session along with Dr Rajkumar Sharma #ISNWCN

A reminder that the #ISNWCN Social Media Team will be covering the World Congress of Nephrology in New Delhi starting in less than 2 days time on the 6th February 2025 and bring to you the latest happenings at the conference. @theisn.org @isn-india.bsky.social @myadla.bsky.social

Registration is open for KIDNEYcon 2025 May 1-3 Little Rock, AR kidneycon.org/registration

Yes! Amazing work @jmteakell.bsky.social Now how do we scale this throughout the US? #NephSky

In the Literature (@natmedicine.bsky.social) commentary by Akshat U. Kumar and Dena E. Rifkin: Another Note of Caution for Spironolactone: Implications of the BARACK-D Study https://bit.ly/Kumar25ITL (FREE)

1/n One of the things that I find valuable in internal medicine in general is pattern recognition. And nephrology is not the exception. AKIs come in different flavors, we can smell the etiology based on the presentation and the way the serum Cr (sCr) rises.

Amoxicillin crystalluria during endocarditis treatment doi.org/10.1016/j.kint.2024.07.029 #KINephrologyImage #MedSky #NephSky #nephrotoxicity

Please join @kireports in welcoming @mchanmd.bsky.social & @drpriyajohn.bsky.social, our newest in KI Reports SoMe leadership, for continued outstanding #FOAMed.

18/n so maybe the drug crystals cause injury as they travel down the nephron but they don’t end up absorbed into the renal parenchyma. As an example, atazanavir crystals do (PMID 32647771) @vipvargh.bsky.social @kireports.bsky.social

12/n back to our case: of course, we inspected the #UrinarySediment under 🔬. First, we were surprised by copious amount of colorful uric acid crystals. Serum uric acid was only 7.4.

11/n during literature search, I found a paper that claimed the 2-panels image below to be acyclovir crystals. Actually, those are NH4 biurate crystals (see example next to it). Remember: being skeptical is a healthy habit. Tons of published case reports are fake news and reflect poor peer-review

9/n Interestingly, several reports describe macroscopic visualization of crystalline sediment in the Foley bag that prompted #UrineMicroscopy. No AKI was present. Numerous polarizable needle-shaped crystals are reported in those cases. Example PMID 32549883

7/n more recently, we encountered another case of AKI with a precipitous rise in sCr in a pt treated with IV acyclovir (see graph). We were consulted about 36 hrs after the last dose of acyclovir had been given. The ask was to determine if acyclovir was the cause of AKI or not

5/n I have repeatedly emphasized that vancomycin is notorious for causing precipitous AKI. In the case of vancomycin however, there’s experimental evidence of vanco-mediated disruption of OATs that could drive some of the steep sCr rise. A past tweetorial here bsky.app/profile/juan...

7/7 @dani_nephron reported a large scale study confirming the entity at #KidneyWk 2022 https://www.asn-online.org/education/kidneyweek/2022/program-abstract.aspx?controlId=3764066#KidneyWk@NephrosisMo @BhavnaBhasin1 @TJ_Wickman @SwethaKanduriMD @gautamphadke @runningbean26_2 @NephroRock...

Born too soon: lifelong kidney risks and the importance of early intervention - Nature - goo.gl/alerts/Vhbrhz #GoogleAlerts

Albumin adjustment formulae for calcium continue to suck jamanetwork.com/journals/jam... In @jama.com network open

RBC cast - brightfield with SM stain - from pt with IRGN - #UrinarySediment #UrineMicroscopy

PO droxidopa to wean off vasopressor infusions (instead of midodrine): the mechanism of conversion to norepi *inside* neurons is beautiful. this may restore normal functioning of the sympathetic nervous system no robust data yet thoughts? criticism? experiences? #EMIMCC @ajwpharm.bsky.social

Get to know the #NephMadness 2025 Executive Team on the #AJKDBlog: https://bit.ly/3PIJRhI @annaburgner.bsky.social @jrkott27.bsky.social @nephrosparks.bsky.social @kidneywars.bsky.social @nephmadness.bsky.social Elena Cervantes Ana Catalina Alvarez-Elías Krithika Mohan Dia Waguespack

CALL FOR SUBMISSIONS: Have you encountered a tricky case that could be submitted as a Quiz to help others learn? Details on the #AJKDBlog: https://bit.ly/3OjKpdd All Quizzes are freely available: https://bit.ly/3B4vccS

➡️ High Impact Clinical Trials @ #ISNWCN: HIT! High Impact Clinical Trials – What and Why 🗓️ February 7 ⏲️ 2:15 p.m. 3:45 p.m. HIT! High Impact Clinical Trials – Why and How 🗓️ February 9 ⏲️ 9 a.m. 10:30 a.m. HIT! High Impact Clinical Trials – Study Design 🗓️ February 9 ⏲️ 11 a.m. 12 p.m.

Saw a new AKI consult, diagnosed malignant obstruction, recommended team consult IR for PCN, signed off #nephsky

⬇️C3/C4 in kidney dz not a coincidence, it’s about injury to the endothelium: 1. SLE III-IV: subendothelial IC (sEnIC), endocapillary prolif (EnCP) 2. IRGN (bact): EnCP, +/- sEnIC 3. MPGN (viral, idiop): EnCP, sEnIC 4. TMA: compl-endothel injury 5. Atheroemboli: chol cryst-endothel injury #Nephsky

Struvite crystals, #UrinarySediment urine pH 8.0, culture Proteus mirabilis; US: hydronephrosis.

RBC casts with fibrous matrix, suspected SLE GN class IV. #UrinarySediment PB stain #UrineMicroscopy #PisseProphet @isgd.bsky.social

Excited to be a part of the ISN/WCN 25 conference and incredibly grateful for my role as a speaker and moderator at the vibrant meeting #ISNWCN #WCN25 #NewDelhi #ISN_India

📣 Calling all medical students (MS1 and MS2), graduate students and PGY1 (IM or Peds) interested in #Nephrology 📣 The ASN TREKS program is accepting applications for 2025, open to residents of North America only Details here 👉 www.asn-online.org/treks

Snake-like RBC cast with hyaline matrix, #UrinarySediment from a pt with MPO-ANCA crescentic necrotizing GN w/ongoing CYC/RTX-based induction IST (1 month in) #UrineMicroscopy #PisseProphet