Deb Choudhury

IgA nephropathy progresses to kidney failure in up to 50% of patients within 10–20 years. On March 29th, the NEJM published the final 24-month data from APPLAUSE-IgAN and the results change the treatment landscape. Here’s what every nephrologist needs to know 🧵 Barratt J et al. NEJM 2026. DOI: 10.1056/NEJMoa2600743

Guide wire width in inches Needle width in gauge Catheter width in French And length of all three in cm Can we just use one system of units?

#CNSICON2026 communion of Nephrologist-critical care specialist on a single platform 🔥 400 plus attendees 👉 overcrowded sessions #VExUS #CRRT #POCUS workshops ⭐️Networking✅industry, stalwarts 🥂Gala night #AleenaBharti 💥Multiple Panels #DTGames2026 🥂👉All👈@ShreshtaT

Simple concept: Fibrinoid necrosis (necrotizing glomerulonephritis) versus Fibrin thrombi (thrombotic microangiopathy, TMA) 1. In fibrinoid necrosis, there is breach/rupture of the glomerular basement membrane (GBM), & fibrin is present in the Bowman’s space. Top panel. 2. In fibrin thrombi, the glomerular basement membrane is INTACT. There is No rupture of the GBM. Fibrin is present within glomerular capillary, and not in Bowman’s space. Bottom panel

@GlassockJ NAC interferes with enzymatic reaction to reduce creatinine - but no effect if you check it with Jaffe It’s all an artifact

Renal blood flow... instagram.com/p/DV1DDrejWWw/…

QT-prolonging medications: prevalence of use and associated risks in CKD doi.org/10.1093/ndt/gf…

Sachin Tendulkar is still a go to person for this generation. Rahul Dravid had enough time for the U19s to coach them, VVS Laxman is looking after the next generation. It is people like these, and those that seek them out, that make for a strong system.

Here is today’s #eyeSCANdy! Acellular scanning EM of a normal glomerular tuft showing the subpodcocytic capillary loop basement membranes following removal of the podocytes.  Photo courtesy of Dr. Stephen Bonsib. #renal #pathology #kidneypath

The management of high blood pressure is moving towards an injectable drug twice a year instead of daily pills. Multiple late stage clinical trials in progress thelancet.com/journals/lance…

Access recirculation is primarily a technical issue, not a machine setting problem. Correct catheter connections, appropriate needle direction and spacing, and early identification of access stenosis are essential to ensure delivered dialysis matches the prescription.

Let's kick off 2026 with a review article on cardiogenic shock. When families ask, "Why are they so sick when it is just their heart?" provide them with this image. 🎩 tip to the authors. eddyjoemd.com/foamed

Spotted by Dr. Singh! A KW nodule measuring 204.65 um in diameter in a case of diabetic nephropathy. #worlddiabetesmonth #renal #kidneypath #nephtwitter

OK nephrologists: pickles/juice has a pH of 3.0. How many H+ (in mmols) will I be ingesting if I eat this entire 100 ml container of super acid pickles. Also how many mmol of Na will I be ingesting? Show the math. Don't get sucker punched on this one.

💥Is there an entity called “Fatty Kidney Disease” ⁉️ ⚡️Can kidneys too be obese? Yes indeed ‼️ #NephroNotes #NephPearls #FOAMEd #MedEd

Review by Rochella A. Ostrowski: Gout Management in Patients With CKD: A Review bit.ly/49b9x1o

What do you when your cardiorenal pt is hypoNa, oliguric despite 3 diuretics (loop, thiazide and MRA?) You "pandiurese" the nephron by blocking two more segments (acetazolamide & tolvaptan, now "quintuple-uretic"). And the pt diureses 2.5 L, Cr 3.0->2, Na 120-130! @juanstathop2

Improving biopsy adequacy rates is essential to improving patient care.  To understand more about the renal biopsy adequacy crisis, listen to our podcast: youtu.be/GSUhu9ysNyM?si…  #Renal #kidneypath #nephrology #nephtwitter #nephx  Thank you to @VelezNephHepato, @vandyniyyar, and @TWhittier_RUSH for joining @nephrosharma, and @Tiff_Caza for this discussion!

Hydrophilic polymers, commonly used as catheter coatings, can detach during cardiac or arterial catheterization procedures and embolize to various organs. The image below shows glomerular polymer emboli, seen as non-refractile, non-polarizable, basophilic foreign material (arrows) occluding the glomerular capillaries. #kidneypath #pathology #renal #pathtwitter #pathx #nephx

From studying under trees to leading nephrology at SGRH—Padma Shri Dr A.K. Bhalla’s inspiring path. Hear the turning points and lessons for young clinicians youtu.be/lwEPvZy-PPo?si…