Lecturers slides say symptomatic hyponatremia should be treated with no more than 1 mEq/L hourly rise in sodium and no more than 12 mEq/L in 24 hours. But most guidelines I see on the internet recommend up to 3 boluses of 3% saline. Wouldnt this result in more than 1 mEq/L in an hour? submitted by /u/Mysterious-Bug-5083 [visit reddit] [comments ..read more

It’s widely prevalent if we are being honest. More so than any other IM sub-specialty. And why do fellowship programs act ignorant that this is going on? Are they afraid of telling applicants the truth? submitted by /u/Tenesmus83 [visit reddit] [comments ..read more

Background I am interested in nephrology submitted by /u/ulu_olo [visit reddit] [comments ..read more

submitted by /u/GlomerulaRican [visit reddit] [comments ..read more

I going to start nephrology fellowship in the next few months. After graduation from fellowship, I am only looking to do outpatient practice alone and not the in patient consults. Is it a possibility to have that kind of practice? submitted by /u/hadrons123 [visit reddit] [comments ..read more

I’m a med student and the concept doesnt quite sit with me but takes place in the diagnostic algorithm in both hyponatremia and hypernatremia and I get super confused. Why does Urine Na>20 indicate that there is renal fluid loss? Esp in eg. osmotic diuresis, postobstructive uropathy? Wouldnt the water rushing into the tubules dilute the Na? So <20 in nonrenal hypovolemia implies the activation of the RAAS. But when the fluid loss is renal it would still activate RAAS if there’s hypovolemia in the body? So why does urine Na >20 indicate a renal loss? submitted by /u/Mysterious-Bug-50 ..read more

Buenas noches, Renal Reyes. I am needing help before step one about remembering the various nephrotic vs nephritic syndromes. I know the general presentation is nephrotic showing protein and maybe some WBC’s in urine with a general loss of albumin from the blood and nephritic involves RBC’s being found. I need help looking for the buzz words and need help for when rotations come up in the next three weeks. Basically, I need help with understanding the pathogenesis and pathophys for a good DDx in third year and good understanding for Step 1. Gracias de antemano submitted by /u/DarkBroth3rh00d ..read more

Hello : I have a question concerning the ( UREA to CREATININE RATIO ) I know the difference between BUN & Urea And why are the interpretation values different What i don't understand is that the (UCR) according to some authors - after eliminating the obstructive (post renal) origin of the renal failure, if it's above 60 then it's considered as pre-renal, if it's under 60 then it's intra renal (=renal) Why they chose "60" ? and why is it different from the regular known values ( 40 - 100 )? submitted by /u/Mrhospital456 [visit reddit] [comments ..read more

submitted by /u/Amycotic_mark [visit reddit] [comments ..read more

Hello! I’m a 38F in good health, I workout daily and have pretty good amount of muscle mass. Few years ago a CT scan found a large 7mm stone so I started seeing a urologist. The stone is still there, it couldn’t be found during surgery?!? Anywho, since then I’ve done several 24 hour urine tests. They always come back abnormal in a few areas. Diet related mostly. This time my results were worse. The ones marked as out of range were as follows: eGFR 89 ( was 109 eight months ago) Calcium 420 Sodium 190 Magnesium 159 Phosphorus 1305 Urea nitrogen 16.71 Protein catabolic rate 1.5 Creatinine/ body ..read more