Acidosis Tubular Renal

“Kidney health is the greatest unmet need in diabetes care” Prof. Peter Schwartz, IDF President

Millions go undiagnosed & untreated, too often leading to CKD. Declarations matter, but action at national & local levels is key

It was a pleasure to welcome
Schwartz at our #UNGA side event yesterday

🌍 History made! For the first time, kidney care is on the global health agenda. #WHA78 adopted a landmark resolution recognizing kidney health in the fight against #NCDs.

👏 Thanks to Guatemala and the global kidney community for making this possible!

#KidneyHealthMatters

The ISN welcomes the adoption of the resolution "Reducing the burden of noncommunicable diseases through promotion of kidney health and strengthening prevention and control of kidney disease" at #WHA78, a landmark achievement in the global fight against kidney disease.

#KidneyHealthMatters

a man in a blue shirt and tie is laughing with his hands in the air ALT: a man in a blue shirt and tie is laughing with his hands in the air

Hello. Excited for today’s #ECNeph case

Welcome friends ! We are discussing an interesting case of 70 years aged man with multiorgan involvement.
Lets check whats there in store for us !
Hope you are all excited !
Shall be back with our tweets in 5 min !
Stay tuned !
#ECNeph
@drsumanbehera.bsky.social
@myadla.bsky.social
@theisn.org

Hey Folks ! An exciting discussion #ECNeph
Dont forget to join us!
on X (27th March)
on BS on 28th March
Lets learn together ! @divyaveerssneph.bsky.social @dilushiwijay.bsky.social @acidosistubular.bsky.social @saiachi1.bsky.social @kajareeg.bsky.social @drsumanbehera.bsky.social

Metabolic Consequences after Urinary Diversion Metabolic disturbances are well-known, but sometimes neglected immediate consequences or late sequelae following urinary diversion (UD) using bowel segments. Whereas subclinical disturbances appear to...

4) Ileal conduit. Not that common, but I had 2 consults for them so

👉When urine ⬆️ in NH4Cl empties into a section of the ileum, NH4 is reabsorbed through the Na-H antiporter of the ileum. Bile acid malabsorption may also cause diarrhea.

👉In sigmoid diversion, Cl is absorbed in exchange for HCO3.

Mechanism of Hyperkalemia-Induced Metabolic Acidosis Background Hyperkalemia in association with metabolic acidosis that are out of proportion to changes in glomerular filtration rate defines type 4 renal tubular acidosis (RTA), the most common RTA obse...

3) Hyperkalemia of any cause including ⬇️ volume and meds. Technically, this is an acquired hyperkalemic RTA, but it does not 🟰 hypoaldosteronism.

👉HyperK impairs ammoniagenesis in the PT

👉K competes with NH4 for reabsorption in the TAL via NKCC2 ⬇️ medullary NH3 gradient for NH4 excretion.

American Society of Nephrology | Kidney Week - Abstract Details (2024) Abstract details for Kidney Week 2024.

1) Compensation for a respiratory alkalosis. Patients with cirrhosis may have a chronic respiratory alkalosis. In this abstract from @juancarlosqvelez.bsky.social and others at ASN Kidney week, 60% of people with cirrhosis and a metabolic acidosis had a primary respiratory alkalosis (pH > 7.35).

Make kidney disease a global priority | Sign our petition Your signature can drive change. Sign our petition to help us convince policymakers that fighting kidney disease should be a priority.

Today is #UHCDay. Let’s join and raise our voices so kidney disease get the recognition as an #NCD by the @who.int

Sight @theisn.org petition: ow.ly/27gb50U60Wf+ #Nephsky #Medsky

On Universal Health Coverage Day, we call for action to ensure health for all, including the 850 million people living with kidney disease worldwide. Act now. Sign the petition: ow.ly/OcvH50TLOrS+

#UHCDay #UHC #HealthForAll #KidneyHealthMatters #UniversalHealthCoverage @momenabbasi.bsky.social

On #HumanRightsDay, we stand united to declare that kidney health is a human right. Everyone deserves dignity, equality, and access to essential health services—including life-saving kidney care.

CRP, ESR, CMV PCR, parvo
#ECNeph

Common causes of early post-tx anemia:
Blood loss
Iron deficiency
EPO deficiency
Medications
Infection/inflammation
Rejection
Hemolysis
Nutritional deficiencies
Parvovirus B19 – Rare but notable
#ECNeph

6/n Now check this, folks!
Creatinine between 1.8-2
Falling hemoglobin!
No active bleed!
What do you think about such a scenario?

#ECNeph #NephSky
@divyaveerssneph.bsky.social @myadla.bsky.social

Wouldn’t opt for biopsy #ECNeph

5/n Look at his graft function…
Are you ok with his creatinine levels?
Do you do a graft biopsy at 2 weeks with creatinine of 1.8 mg/dl?

#ECNeph #NephSky
@divyaveerssneph.bsky.social @myadla.bsky.social

4/n Underwent kidney Tx
ABOi: MIL donor
Do you agree with Swap encouragement or ABOi empowerment ?
Real world data of ABOi
Please share.

#ECNeph #NephSky
@divyaveerssneph.bsky.social @myadla.bsky.social

3/n Proceeding directly to lab investigations…

#ECNeph #NephSky
@divyaveerssneph.bsky.social @myadla.bsky.social

2/n Isn’t this something you encounter frequently in your practice?
Negative history. High creatinine. Etiology unclear.
Share common causes of kidney failure in your region.

#ECNeph #NephSky
@divyaveerssneph.bsky.social @myadla.bsky.social

1/n Let's jump into the case details:
40+ YO man underwent kidney Tx.
He had bilateral contracted kidneys at presentation.

#ECNeph #NephSky
@divyaveerssneph.bsky.social @myadla.bsky.social

We are excited to welcome everyone on Bluesky #NephSky for our first #ECNeph session today. We’ll discuss an interesting post-transplant case with complications.
Discussion led by @DivyaveerSSNeph.bsky.social
moderated by @myadla.bsky.social

Treating Metabolic Acidosis for CKD Progression? Need for... : Clinical Journal of the American Society of Nephrology An abstract is unavailable. This article is available as a PDF only.

Treating Metabolic Acidosis for CKD Progression? Need for Need for Higher Quality Data

journals.lww.com/cjasn/citati...

SGLT2 Inhibitors Might Lower Stone Risk Better Than Other Type 2 Diabetes Drugs SGLT2 inhibitors treat type 2 diabetes and might also help prevent kidney stones.

www.renalandurologynews.com/news/sglt2-i... @amyaimei.bsky.social #nephsky @saltnshekar.bsky.social

Types of renal tubular acidosis

Types of RTA #ECNeph

🌍 #NephSky #MedSky Are you excited about the 2025 World Congress of Nephrology #ISNWCN?
Stay up-to-date with all the latest news, events, and highlights—follow our dedicated WCN feed, and don’t forget to pin it to your profile for easy access 🙌

⚠ Kidney International's December issue is out!
Read the latest news in research, highlights from current literature, comprehensive reviews, and in-depth case studies www.kidney-international.org/current

Read the editor's pick for this month: #NephSky

Renal tubular acidosis in hereditary transthyretin amyloidosis(ATTRv)
www.scielo.br/j/jbn/a/Sb3d...

This study is going to be the topic of #NephJC ’s first journal club on Bluesky. Next Tuesday 9pm EST.

📖 KI #ISNFridaySelection: "Effects of dialysate K concentration of 3.0mEq/l with sodium zirconium cyclosilicate on dialysis-free days vs dialysate K concentration of 2.0mEq/l alone on rates of cardiac arrhythmias in HD pts w/hyperkalemia", presented @ #KidneyWk: www.kidney-internati... #NephSky