Zoran Paunic
@unicipa.bsky.social
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📥 545
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nephrologist
reposted by
Zoran Paunic
Paul Farkas
about 2 months ago
Hepatic Encephalopathy with healthy liver? 🤔Pt with cognitive impairment, - neuro workup. Discharged with diagnosis of dementia, focal seizures. 👍CT lge intrahepatic portovenous shunt; Ammonia 🔼 😀Improved with PSE Rx, ultimately treated in IR Sort of a congenital TIPS
#IMsky
#GIsky
#Medsky
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Excellent study with positive results, let's hope another study confirms this. Fish-Oil Supplementation and Cardiovascular Events in Patients Receiving Hemodialysis | New England Journal of Medicine
2 months ago
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reposted by
Zoran Paunic
Gregor Bond
7 months ago
meet me at
#ESOTcongress
in London 🇬🇧 🗓️ July 1, 13:00-14:00, ROOM s5 to discuss Torque Teno virus 🦠 based immunologic monotoring viruses 🦠 can be superheroes 🦸
#ESOT2025
#TTVguide
#ESOT
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An interesting pilot study: a regular dose of loop diuretic enhances hemodialysis clearance of protein-bound uremic toxins in anuric patients.
academic.oup.com/ckj/advance-...
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Loop Diuretics in Anuric Hemodialysis Patients for the Clearance of Protein-Bound Uremic Toxins
AbstractBackground. In chronic kidney disease (CKD), the accumulation of protein-bound uremic toxins (PBUT), such as hippuric acid, p-cresyl sulfate, and i
https://academic.oup.com/ckj/advance-article/doi/10.1093/ckj/sfaf195/8162725
7 months ago
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Zoran Paunic
Podocyte Talk - Dr. Anass Qasem
8 months ago
In CKD, furosemide use—especially >100 mg/day—is linked to higher serum levels of protein-bound uraemic toxins like IS, PCS, Kyn, and IAA. Furosemide may impair toxin clearance via OAT1/3 transporters, contributing to toxin accumulation.
#podoctyetalk
#CKD
#Nephsky
www.kireports.org/article/S246...
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Furosemide and Serum Protein-Bound Uraemic Toxin Concentrations in Patients with Chronic Kidney Disease
Furosemide is commonly prescribed to patients with CKD but may impair the kidney’s excretion of protein-bound uraemic toxins (PBUTs) via the organic anion transporters 1 and 3 (OAT1/OAT3). We evaluate...
https://www.kireports.org/article/S2468-0249(25)00265-7/fulltext
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Zoran Paunic
Swapnil Hiremath 🍁🇨🇦
11 months ago
We pooled all the (suboptimal data) together in this meta-analysis
pubmed.ncbi.nlm.nih.gov/32155642/
Hardly any effect on residual function
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Does Iodinated Contrast Affect Residual Renal Function in Dialysis Patients? A Systematic Review and Meta-Analysis - PubMed
Intravascularly administered contrast media may not result in a significant reduction of residual function in dialysis patients.
https://pubmed.ncbi.nlm.nih.gov/32155642/
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Zoran Paunic
Kidney International
12 months ago
Transmission of tuberculosis via
#kidneyallograft
Renal allograft-transmitted
#tuberculosis
is a rare and potentially fatal infection in the early post-transplant period.
doi.org/10.1016/j.kint.2024.08.011
#KINephrologyImage
#kidneytransplantation
#MedSky
#NephSky
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A retrospective study from Taiwan: ESA vs w/o ESA in CKD and ESKD patients: HR for incident malignancy 1.84 with ESA; for genitourinary malignancy 12.55. The risk was positively correlated with the cumulative dose of ESA. doi: 10.1111/cts.13353
about 1 year ago
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Zoran Paunic
American Journal of Kidney Diseases
about 1 year ago
Check out this special collection that highlights the clinical connection between disorders of the kidneys and the heart:
https://bit.ly/3AVbArF
#Cardiorenal
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