can diuretics precipitate hepatic encephalopathy as a direct effect in absence of hypovolemia or electrolyte abnormalities (hypokalemia , hyponatremia) and metabolic alkalosis? #hepatology #Livertwitter

Can onion skinning of renal arteries and arterioles occur in TMA whatever the cause or in those only associated with malignant/ accelerated hypertension? also is it the same as hyperplastic arteriolosclerosis? @askrenal #askrenalpath

Is ther any explanation for absence of edema in patient with membranous nephropathy with nephrotic range proteinuria and marked hypoalbuminemia (serum albumin less than 2 mg/dl)? #Glomerular #askrenal

Does Plasmapheresis (with plasma replacement) in patients with complement mediated HUS causes significant HLA sensitization for possible future renal transplantation? #Askrenal Anuja Java, MD (she/her)

why sometimes there is a big difference between estimated GFR by equations and measured GFR by DTPA scintigraphy? male patient, age 75, weight 95, craetinine 3.7, GFR by DTPA 54 ml/min. #askrenal Nephrology Journal Club

Why hyporeninemic hypoaldosteronism causes hyperkalemic RTA with (normal urine acidification) while decreased sodium delivery to ENAC causes hyperkalemic dRTA with (urine acidification defect)? #askrenal Nephrology Journal Club

Is it accurate to measure blood pressure of dialysis patients using the arm with a failed proximal AVF? #askrenal Nephrology Journal Club

Is there an equation to calculate diffusive sodium mass transfer during conventional HD session using ionic dialysance in the dialysis machine? @askrenal

How plasma Na is measured by some dialysis machines if there is no conductivity cell in blood path and initial Na is not provided to machine?Is this measurement accurate? #askrenal Claudio Ronco Adequator ترجمة التغريدة

can i cite the KDIGO lupus nephritis guidelines 2023 public draft as a reference in a review article before being publisjed as final version? if yes how? #askrenal Nephrology Journal Club

48 yr M ESRD s/p LDRKT. 7days after surgery, he developed AAD. BX showed cortical necrosis, fibrin thrombus in 1 artery and the other artery is showen below. what could be the spaces in the wall of the artery? Jonathan Zuckerman MD PhD Jean Hou, MD Renal Path Labs