Nephrology

Traditional Chinese herbs linked to nephrotoxicity

May 04, 2010

Botanical products containing aristolochic acid—typically sold as traditional medicines in the Far East—have been associated with an increased risk for end-stage renal disease.
 

U.S. healthcare vs. Canadian single payer: Doctors Give Their View

Delicia Honen Yard September 30, 2009

Canada provides coverage for all citizens through a single-payer system, but does quality suffer?
 

Fluids prevent recurrent nephrolithiasis

April 23, 2009

Water intake greater than 2 L/day or enough fluids to achieve a urine output greater than 2.5 L/ day reduced stone recurrence risk by 61%, researchers reported.
 

Kidney function, genetics may affect warfarin action

March 09, 2009

Research may one day allow clinicians to customize warfarin doses based upon individual genetic profiles and degree of kidney impairment.
 

Simple algorithm predicts chronic kidney disease

February 09, 2009

A new eight-factor algorithm helps predict which patients are most likely to develop chronic kidney disease within a decade. The model is designed for people who have healthy kidneys now but suffer from some other chronic disease.
 

Autoimmune and vasculitic renal diseases

Question asked by Dennis Fito, MD, Oklahoma City, and answered by Edgar V. Lerma, MD January 09, 2009

The etiology, diagnosis, and treatment of autoimmune and vasculitic renal diseases
 

ARBs and ACE inhibitors for proteinuria

Question asked by Absar Qureshi, MD, Columbus, Ohio, and answered by Edgar V. Lerma, MD January 09, 2009

Can we prescribe the ARBs and the ACE inhibitors in insurance company formularies for the treatment of diabetic nephropathy, or must we push for specific agents?
 

Statins protect against CVD, not renal disease

December 04, 2008

Statin use does not decrease renal-function loss in patients without cardiovascular disease (CVD) or in those at risk for it, but the drug is effective for primary prevention of CVD, a study found.
 

Kidney injuries, stones raise risk of ESRD

By Myra Dembrow December 03, 2008

Kidney stones and acute kidney injuries caused by trauma, illness, or surgery may predispose patients to end-stage renal disease (ESRD), two new cohort studies suggest.
 

Kidney stones with osteopenia

Question asked by Duc Nguyen, MD, Gainesville, Fla., and answered by Edgar V. Lerma, MD November 20, 2008

Should patients with calcium oxalate kidney stones and osteopenia (T score -­2.0) be given vitamin D and calcium? My patient's calcium level is within normal limits.
 

Kidney marker warns of heart disease, diabetes

November 20, 2008

A new meta-analysis confirmed "a strong and continuous association between urinary proteinuria and subsequent risk of coronary heart disease (CHD)." Meanwhile, a team of French scientists has tied excessive UAE levels to substantially higher risks of developing diabetes in men.
 

More on tackling kidney stones

Jerry Goddard, MD, and Karl Sandberg, MD, offer alternatives; answer by Edgar V. Lerma, MD, October 06, 2008

The article "Kidney stones: helping patients avoid the pain" (July/August 2008) by Edgar V. Lerma, MD, was a good general review, but it didn't...
 

Pre-glucose tolerance test diet

Question submitted by G. Tadros, MD, Wilmington, Del., and answered by Daniel G. Tobin, MD October 06, 2008

What are the dietary recommendations for the three days preceding the oral glucose tolerance test (OGTT)? Many centers offering the OGTT...
 

Kidney stones: Helping patients avoid the pain

By Edgar V. Lerma, MD August 01, 2008

Some risk factors are unavoidable, but adjusting your patient's diet and addressing comorbidities can prevent excruciating episodes.
 

Does this patient have hepatitis B?

Question raised by Karl Kaplan, MD and answered by Ramsey Cheung, MD April 17, 2008

A 47-year-old asymptomatic woman has tested positive for hepatitis delta antigen (HDAg) (confirmed on repeat testing) and hepatitis Be antigen (HBeAg). The following test results...
 

ACE inhibitors and creatinine on the rise

Question asked by David S. Joe, MD, Jackson, Miss., and answered by Daniel G. Tobin, MD March 21, 2007

In a patient on an ACE inhibitor, how do you monitor serum creatinine, especially when it's starting to rise?
 

CKD: Why you play a crucial role

By Roy D. Bloom, MD, and Jonathan Bress, MD March 13, 2007

Primary-care physicians need to recognize and manage chronic kidney disease. Here's what to do as the disease progresses.
 

Could too much calcium have raised PSA?

Question raised by Jeffrey W. Glassheim, DO, Oshkosh, Wis. and answered by David T. Noyes, MD September 14, 2006

Can urinary tract stones from calcium supplementation cause inflammation as they pass through the urinary tract, causing an elevated PSA?
 

Metabolic syndrome: Call to action

By Roger Zoorob, MD, MPH, and Victoria Smith, MD August 07, 2006

The debate rages on: Does the metabolic syndrome really exist? What are its clinical implications? Does diagnosis help prevent heart disease and diabetes?
 

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