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Renal Kidney Biopsy - Articles

Handling anticoagulation peri-kidney biopsy by Matt S. Posted Fri 02 Mar 2012 9:58am Kidney biopsy is considered the most invasive procedure nephrologists are involved. Though complication rates are small, bleeding requiring surgery has been reported to occur in 1 in 1,000 kidney biopsies. More commonly, patients may develop a decrease in hemoglobin by 1 point (~50% of cases) and/or gross hematuria (3-18%). The risk of bleeding ... Read on »
Results of Kidney Biopsy Poll by Matt S. Posted Thu 05 Nov 2009 12:00am The results from last week's Poll of the Week are in, and in general, a majority of individuals (64%) felt that their training programs  did a good job of teaching them the art of the renal biopsy, while a significant minority (36%) felt that they were ill-equipped to perform biopsies at the end of their fellowship experience. Interestingly, t ... Read on »
eJournal Club - Kidney Biopsies by Matt S. Posted Tue 23 Oct 2012 12:00am This month's eJournal Club concerns a paper (with an accompanying editorial ) reporting the experience of renal biopsies in Norway. One issue that arises again and again is whether or not patients should undergo outpatient biopsies. The argument against this is that many complications occur more than 8 hours following a biopsy and that the co ... Read on »
Kidney Biopsy Case: AKI by Matt S. Posted Mon 16 Sep 2013 12:00am A 54 year old man was referred to the Nephrology service due to AKI after presenting with lethargy and severe thirst. He had a long history of pulmonary and hepatic sarcoidosis which had been quiescent for some time. He likely had some baseline mild CKD with a serum creatinine of 1.3 mg/dl and 0.5 g/day proteinuria. His medications were unremark ... Read on »
Conference Review: Renal Biopsy in Medical Diseases of the Kidneys by Matt S. Posted Sun 05 Aug 2012 12:00am I'm not a huge conference goer.   I've been to ASN a few times and have made a brief appearance at the Advanced Nephrology for the Consultant down in San Diego but otherwise haven't seen much of the conference circuit.  But when I got the Columbia flyer for the Renal Biopsy in Medical Diseases of the Kidneys a few years ago I knew it was g ... Read on »
Kidney care pathways by Dr. Donal O'Donoghue Patient Expert Posted Thu 28 May 2009 12:22am Eighteen week pathways are being developed with the aim of transforming service delivery. The start, stop and pause rules are important but not the biggest issue. A good test of the rules is do they make sense to the man on the proverbial Clapham omnibus? Let me give you an example – someone with normal excretory kidney function but with proteinu ... Read on »
Differential Diagnosis of Granulomatous Kidney Disease by Matt S. Posted Tue 12 Jan 2010 12:00am Although it's not common (somewhere between 0.5 - 0.9% of all native kidney biopsies according to published case series), one of the fellows produced an interesting case of granulomatous interstitial nephritis in Renal Grand Rounds today. The case, in a nutshell: a middle-aged individual with ESRD of unknown etiology who is now on a 2nd ... Read on »
Venus, Sjogren's and the Kidney by Matt S. Posted Fri 13 Jul 2012 12:00am The Williams sisters put yet another Wimbledon doubles tittle into their trophy case over the weekend.  This, just hours after Serena had won the singles competition.  Pretty impressive. In reading the coverage I learned that during the last year Venus had been diagnosed with Sjogren's syndrome (I know, I know, old news to those payin ... Read on »
Combined heart-kidney transplant - when less is enough by Matt S. Posted Mon 02 Apr 2012 8:22pm A 50 yo male with non-ischemic cardiomyopathy with ejection fraction of 15% presented with worsening dyspnea and renal failure (Cr 3 mg/dl). He was started on inotropes and was evaluated for heart transplantation. Nephrology was called since the treating physician thought this patient might benefit from a combined heart-kidney transplant ... Read on »
Combined heart-kidney transplant - when less is enough by Matt S. Posted Mon 02 Apr 2012 12:00am A 50 yo male with non-ischemic cardiomyopathy with ejection fraction of 15% presented with worsening dyspnea and renal failure (Cr 3 mg/dl). He was started on inotropes and was evaluated for heart transplantation. Nephrology was called since the treating physician thought this patient might benefit from a combined heart-kidney transplan ... Read on »