Nephrology
News
Kidney Stones Linked to CVD, Metabolic Syndrome
Photo Rounds
Unexpected skin necrosis of the thighs
The patient was initially told she had cellulitis and sent home with a combination antibiotic. Three weeks later, she returned with necrotic...
Clinical Inquiries
Ureteral calculi: What should you consider before intervening?
EVIDENCE-BASED ANSWER: THE SIZE OF THE CALCULI, their location, and complicating factors such as infection should all be considered.
Applied Evidence
Help patients with chronic kidney disease stave off dialysis
Screening and timely referral are, of course, key. But this health coaching technique can make a big difference, too.
Applied Evidence
Anemia and chronic kidney disease: What’s the connection?
When a patient has CKD, anemia may be part of the picture. Here’s what to watch for and the steps you’ll need to take.
Medical Verdicts
Inadequate follow-up ends in kidney transplant … Teenager dies of undiagnosed pneumonia … more
Medical Verdicts
SJS is diagnosed, but not quickly...Lithium unmonitored, kidney failure followed...more...
PURLs
ACE inhibitors and ARBs: One or the other—not both—for high-risk patients
The combination of an ACE inhibitor and an ARB reduces proteinuria, but leads to worse renal outcomes
PURLs
Drugs help pass more ureteral stones
Evidence supports use of tamsulosin, nifedipine.
Clinical Inquiries
Do COX-2 inhibitors worsen renal function?
EVIDENCE-BASED ANSWER: No, COX-2 inhibitors, as a class, do not worsen renal function for those without renal disease. Celecoxib is the only COX-2...
Clinical Inquiries
What interventions reduce the risk of contrast nephropathy for high-risk patients?
EVIDENCE-BASED ANSWER: Several interventions may reduce the risk of contrast nephropathy for high-risk patients; however, most evidence uses...