Chandini kotha

Pt presented with sob and anuria On evaluation found to have ARDS with resp failure and AKI cr-6,urea -200,started on hemofeel filter-cytokine adsorption filter along with fluvir and other medications ... Pt got extubated and discharged with 1.5 creat urea -45 and without o2

🇮🇳 CKD of Unknown Etiology (CKDu) in India 🔍 Hotspots: Uddanam, Odisha, Goa, Vidarbha, Tamil Nadu 👨‍🌾 Affects young farmers without diabetes or hypertension ⚠️ Clues: Minimal proteinuria/Bland urine/Late presentation 🧠 Likely causes: • Heat stress & dehydration • Agrochemicals • Contaminated water 🧬 Pathology: Chronic tubulointerstitial injury 💡 Key message: Multifactorial disease → prevention is crucial ✔️ Hydration ✔️ Safe water ✔️ Occupational protection #GSR #BuddingNephros #CKD #CKDu #Nephrology

Check out these #Nephmadness collectibles Credit: @ChatGPTapp

Ozempic vs Mounjaro — the REAL 2025 comparison. 🧵Thread🔥👇 Everyone is talking about weight-loss drugs. But the REAL showdown is Ozempic vs Mounjaro — and the winner is clear. Ozempic and Mounjaro should be prescribed ONLY after medical assessment — never self-started. @DrAkhilX @IhabFathiSulima #MedTwitter #ozempic #mounjaro #weightloss #diabetes

Congress has historically stood against the development of Assam. From neglecting the region during its long rule to opposing new opportunities, Congress has always betrayed the people of Assam. When the proposal to bring the semiconductor industry to Assam came up, a move that could transform the state into a hub of technology and jobs, Congress chose to mock and reject it instead of supporting the vision. Why does Congress want Assam to remain backward? Assam deserves industries, employments, and growth and not the politics of denial that Congress has always practiced.

@DrAkhilX Availability?

Cover of this book looks awesome. Check it out if you are interested.

SHOCKING 🚨 Animal activist smiles as Dr Sanjeev Bagai raises alarm on rabies 😳 Dr SANJEEV BAGAI : "We are only talking about rabies. More than 330 bacteria get infected in every dog bite. "I am paying my taxes. I want my roads clean." ANIMAL ACTIVIST : You are paying taxes for dogs shelter? DR SANJEEV BAGAI 🔥 : "81% of severe dog bites require surgery. I'm paying my taxes. I want my child's future secure. I don't want stray dogs on the road. Period. That is it."

💔 When pregnancy harms the kidneys, the damage can last a lifetime. 
Our review of 25 studies from India shows: 
🦠 Sepsis causes up to 78% of PR-AKI cases
♾️ 1 in 3 women develop CKD
💉 Up to 30% stay on dialysis
⚰️ Perinatal mortality can reach 67% This is preventable. It’s time to act #PRAKI #NephTwitter #MedTwitter VA by @priti899 @priti899 @VinantBhargava @krithicism @WomenNeph_india 🔗 doi.org/10.1186/s40748… @BioMedCentral

Bile cast nephropathy is one cause of acute or chronic kidney injury in patients with liver disease (especially obstructive cholestasis). Figure 1 shows two paraffin blocks containing kidney biopsies from two different patients. The upper block shows the typical appearance of a paraffin-embedded core biopsy of kidney tissue. The tissue in the lower block (indicated by the arrow) shows prominent green discoloration and was taken from a patient with hyperbilirubinemia due to underlying liver disease. Figure 2 shows the corresponding light microscopic findings, which include acute tubular injury associated with numerous green-brown casts. Histochemical staining confirmed the presence of bile (stain not shown). The casts are thought to cause kidney injury by distal nephron obstruction and direct toxicity to the tubular epithelium by bilirubin and bile acids. #TeachingPoints #kidneypath #renal #pathology

Watched #3BHKonprime such soul satisfying movie...it's like real life experiences ...great movie #sharathkumar #siddu and every actor actress in the movie...

@RGVzoomin Very true

The problem with helping a friend , next time in need he again comes back to you and if u don’t help, he will become ur worst enemy #HappyUnfriendshipDay

𝗦𝗔𝗩𝗘 𝗧𝗛𝗘 𝗗𝗔𝗧𝗘 for the Grand Rounds in Transplant Nephrology – an ISN-@ttsorg Sister Transplant Centers Initiative. 🗣️ Aruna Subramanian, Maha Abdalla Mohamed, Aggrey Mweemba 👤 Robert Freercks 🗓️ July 29 🕓 4 pm CEST 🔗 Free registration: lite.spr.ly/6000yvCA

🤔What if IgA nephropathy is more than just mesangial IgA deposits?🫘 🧬From genes➡️ gut➡️ glycosylation➡️ glomeruli, the updated 4-hit model now meets autoantibodies, complement & plasma cell targets🎯 Must-see pathway map👇 🔗doi.org/10.1093/ckj/sf…🆕 #Nephrology #IgAN #MedX

Today have seen a rare presentation of primary hypertriglyceredemia pt ..family h/o positive recurrent pancreatitis..now presented with 4500 tg levels....did one sessions of plex ...came down to 800 post one plex...pt stable

Patients with CKD G3b-G5 have a higher risk of kidney disease progression due to higher blood pressure, emphasizing the importance of maintaining optimal blood pressure over time. kidney.pub/CJASN0760 #ASNCJASN

Alport spectrum

Povetacicept In membranous nephropathy

🚨 Hot off the press in @AJKDonline with @silvishah! 🎊She gives, but doesn’t always receive. Despite being more likely to donate ❤️‍🩹, women are less likely to receive a KT 💥Why the gap? 💥What’s stopping us? 💥And how do we fix it? ✔️We unpack it all. ajkd.org/article/S0272-…

@poojapranav123 Hi ..so v started her on small steroids dose 1mg/kg after 3pulse doses and plasmapheresis 5 sessions and in between dialysis sessions

@kotha_chandini Hi dr chandini. We are currently having a similar case. What was your treatment strategy?

Case of postpartum Aki - atypical hemolytic syndrome treated well and now she comes with 1.3 creat c3 normal and no proteinuria

GOD knows what GOD is doing ? You to a beautiful location for a vacation and terrorists shoot you 😒 You go to celebrate in a trophy parade and you die in a stampede 😳 You fly in a plane and the plane crashes 😢 You are eating a meal in your hostel and a plane falls on you 😫