Gout and Chronic Kidney Disease
1:04:16
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@haysamrady8732
@haysamrady8732 Ай бұрын
rules are gold
@Remanche1
@Remanche1 2 ай бұрын
Do nothing: kidneys heal when the body heals/sepsis resolves and hemodynamics improve:)
@gopalakrishnagandikota1083
@gopalakrishnagandikota1083 2 ай бұрын
What would be the risk of oxalate nephropathy when using vit c and ways to avoid if any
@PabloGarcia-yw8oo
@PabloGarcia-yw8oo 2 ай бұрын
Excellent talk
@il3mendo
@il3mendo 3 ай бұрын
High glutamine/ glutamic acid ( Gad 65 ) ?
@il3mendo
@il3mendo 3 ай бұрын
Low zinc sign of diabetes 1 mellitus/gastrointestinal malabsortion ?
@kanchanchakraborty7781
@kanchanchakraborty7781 3 ай бұрын
Hello my daughter have xlinked alport syndrome 1 is she is hearing from 50 db in right ear, ledt is fine...is this cause kidney issue in both ? On one kidney? Whixh medicine is suitable for her
@-TheOracle-
@-TheOracle- 5 ай бұрын
AFIB has been on the rise globally. A huge jump in cases of AFIB across the globe was in the year 2020. G5 began to deploy in 2018 and world wide in 2019 In 2020 , G5 is in every hands of cell phone owners. AFIB rates have surged worldwide, notably spiking in 2020 alongside the widespread deployment of G5 technology. This significant increase in AFIB could indicate a potential correlation between the two. Either that or it might be my gas station sushi I had last night.
@foletto
@foletto 5 ай бұрын
👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻👍🏻
@ahtishamshakoormd
@ahtishamshakoormd 6 ай бұрын
Excellent talk on a difficult topic
@foletto
@foletto 7 ай бұрын
Super !!! 👏🏻👏🏻👏🏻👏🏻
@sorianasor9730
@sorianasor9730 8 ай бұрын
very bad explanation
@willischambers8417
@willischambers8417 8 ай бұрын
🤷 'PromoSM'
@ttantawy60
@ttantawy60 8 ай бұрын
excellent presentation
@deepakk7067
@deepakk7067 9 ай бұрын
morbidly obese with BMI >40 - feel femoral has multiple issues - just going to be moist once the pannus falls back on the catheter post placement, more issues with kinking and need to keep the leg straight. agree planning for a future access but no one size fits all. More obese - more likely IJ
@khaled3470
@khaled3470 9 ай бұрын
Sorry my question is it convenient to remove temporary line and insert permcath during bactreamia? As our center refused until culture becomes negative
@Rene-uz3eb
@Rene-uz3eb 10 ай бұрын
Long term use of Ace inhibitors cause severe damage to the kidneys as shown in a recent study, especially when already hypoxic. Most women are asymptomatic in the more common XLAS, so the risk of Ace inhibitor damage is probably much higher than potential benefit in that group. Since at birth the basement membranes use a different fetal collagen 112 network, not only in Alport disease, I wonder if those are just more susceptible to iron like in other fetal/nonfetal cell diseases. 21:16 indeed she just said it. Yep, serum iron reduces collagen production, so presumably in particular a1a1a2, and increases MMP: Effect of free iron on collagen synthesis, cell proliferation and MMP-2 expression in rat hepatic stellate cells, 2002 17:44 this bell curve is much too wide. The 95% confidence interval is at most 40-60% for x inactivation at 100-200 embryo cells, which should hold also at tissue level. So the right side is very rare. 29:48 to update recommendations based on a handful of patients is absolutely ridiculous, in particular when it involves a very mild form of the disease that wasn't even included in the trial. I thought panels always scream for more data. The non randomized arm with slightly larger numbers did not even show a statistically significant difference, and an endpoint of proteinuria is hardly what matters 34:40 people should really be told that you should not exercise 48 hours before a proteinuria test. I believe the recommendation is 24h. Exercise dramatically raises protein in urine many fold even after 30 hours. 39:53 bardoxolene basically is just a patentable version of oleanic acid (olive oil). The trial was successful increasing egfr. Yet the fda wanted to 'see more data' and denied drug app. Oleanic acid also activates nrf2, and has been shown before to improve ckd. So this seems to work pretty well then, olive oil that is, in Alport. A similar compound was shown to reduce fibrosis, and bardoxolene was shown to improve pulmonary hypertension in connective tissue disease. 41:33 more patients were actually dropped because of elevated liver tests. These, like proteinuria, can be elevated, for over a week after exercise so maybe the people on the trial just felt better and worked out. The patients with more complications were in the placebo group.
@thomasbrown5648
@thomasbrown5648 10 ай бұрын
I am 41years old. My gfr is 84. My urine is very foamy. My dna report shows homozygous variants on my col4a4 gene. My doctor said i have no blood or protein in my urine
@jiyugu
@jiyugu 11 ай бұрын
Can SGLT2i be used for patients with minimal change disease using cyclosporine?
@jamalalwakeel161
@jamalalwakeel161 11 ай бұрын
Thank you very much excellent comprehensive lecture
@futureiscoming5925
@futureiscoming5925 11 ай бұрын
Thank you for this excellent talk❤
@themcmichaelchang
@themcmichaelchang 11 ай бұрын
Very informative. Thank you!
@laneicewatson3196
@laneicewatson3196 Жыл бұрын
Sean go book Julia help
@hassanhabeeb5168
@hassanhabeeb5168 Жыл бұрын
Excellent work
@Arun-mh7br
@Arun-mh7br Жыл бұрын
I am afraid of neurological damage due to dialysis Please help
@arelhawkinberry6288
@arelhawkinberry6288 Жыл бұрын
👌 "Promo SM"
@MahavirBafna01
@MahavirBafna01 Жыл бұрын
Sir i am suffering by alport syndrome since childhood I am 19 now I had by kidney transplant 1.6 years ago and i am fine now After my transplant my hearing loss is decreased from 62% to 53% and i wear specs now
@abdelhamed012
@abdelhamed012 Жыл бұрын
With Rituximab treatment will follow C/D 19 count or serum IgG levels and when to replace
@abdelhamed012
@abdelhamed012 Жыл бұрын
Aza or MMF for maintenance if Rituximab not available
@abdelhamed012
@abdelhamed012 Жыл бұрын
Other B cell depletion therapy like Benlysta or obitunuzumab in vasculitis and atacicept or telitacicept
@abdelhamed012
@abdelhamed012 Жыл бұрын
Effect of avacopan on ANCA titer
@bhanupratapsingh-ln9of
@bhanupratapsingh-ln9of Жыл бұрын
CKD stage 4 creatinine levels 3.25
@hardik4u24
@hardik4u24 Жыл бұрын
Does risk of tma recurrence increase in patient with related live donor transplant ?
@hardik4u24
@hardik4u24 Жыл бұрын
Very good class …
@andrewramos1542
@andrewramos1542 2 жыл бұрын
💘 pքɾօʍօʂʍ
@goodexams3064
@goodexams3064 2 жыл бұрын
Is there a role of S/V in HFpEF? Does it reduces weight on starting s/v via natriuresis?
@hashimawan2433
@hashimawan2433 2 жыл бұрын
So you're saying SGLT2 is Good for the Kidneys ??????
@paulabrown5243
@paulabrown5243 Жыл бұрын
Yes, for chronic kidney disease.
@mondorecording
@mondorecording 2 жыл бұрын
I am a transplanted person who has had covid late December 21, would I now have natural immunity
@ottawanephrology
@ottawanephrology 2 жыл бұрын
yes you would have an element of natural immunity - but natural immunity is not durable (ie wanes with time) and may not be protective to all variants out there.
@shubharthidr
@shubharthidr 3 жыл бұрын
Great TALK!!!
@algheriani2902
@algheriani2902 3 жыл бұрын
👍