Nefrología / Gea González(@NefroGea) 's Twitter Profileg
Nefrología / Gea González

@NefroGea

Nefrología
Hospital General Dr. Manuel Gea González

ID:1717943963850584064

calendar_today27-10-2023 16:39:02

27 Tweets

125 Followers

42 Following

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Nephrology team, collaborating on the medical education of our new Internal Medicine residents.

“Central Venous Catheter Placement Class-Workshop.”

'Great work from our 2nd-year resident , Dulce Torres '

Nephrology team, collaborating on the medical education of our new Internal Medicine residents. “Central Venous Catheter Placement Class-Workshop.” 'Great work from our 2nd-year resident , Dulce Torres '
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Thanks to our teacher Marcos Nava Mark GN for his teachings.

Renal biopsy in a patient with difficult access due to simple cysts.

NefroGea-NefroINER .

Thanks to our teacher Marcos Nava @MarkOO7S for his teachings. Renal biopsy in a patient with difficult access due to simple cysts. NefroGea-NefroINER .
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🚨Peritoneal Catheter Placement Technique Guided by US

1. Locate basic structures.
2. Visualize the needle inside the peritoneal cavity without causing damage to structures.
3. Infuse 1 liter of NaCl 0.9%
(stream confirms proper needle position).

Opening the operating room.

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Non-guided US placement
N=117

17 kit placements
90 traditional technique

Catheter kit had fewer replacement requirements (0 vs 15.7%)

No differences in dysfunction, leaks, migration, infections

Congratulations to our IM fellow Rafael Moreno Novales

#PercutaneousCatheterTenckhoff Non-guided US placement N=117 17 kit placements 90 traditional technique Catheter kit had fewer replacement requirements (0 vs 15.7%) No differences in dysfunction, leaks, migration, infections Congratulations to our IM fellow @RafaelMorenoMD
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Perazella 3 🔬

🔴↑ moratality
1.916 (0.959-3.828)

🔴↑ MAKE
2.532 (1.383-4.638)

🔴↑ AKI KDIGO 3
2.857 (1.347-6.062)

Urinary sediment ⏩ worse outcomes in AKI and COVID-19

Congratulations to our IM Fellow Julio Vazquez La Tríada Clásica

#UrinarySediment #AKI #COVID19 Perazella 3 🔬 🔴↑ moratality 1.916 (0.959-3.828) 🔴↑ MAKE 2.532 (1.383-4.638) 🔴↑ AKI KDIGO 3 2.857 (1.347-6.062) Urinary sediment ⏩ worse outcomes in AKI and COVID-19 Congratulations to our IM Fellow Julio Vazquez @LaTriadaClasica
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Nephro for IM Fellows
Adequacy

🔴 Tools for Adjusting Weight
Lung US ✅
Avoid Underfill

🔴 HCO3
Maintain normal levels 21–22
Avoid high HCO3

🔴 K
>6 (↑ risk arrhythmia)
3K: K <4
2K: 4–6

🔴 Na
Avoid ↑Na for preventing hypotension
Thanks Enzo Vásquez

Nephro for IM Fellows #HD Adequacy 🔴 Tools for Adjusting Weight Lung US ✅ Avoid Underfill 🔴 HCO3 Maintain normal levels 21–22 Avoid high HCO3 🔴 K >6 (↑ risk arrhythmia) 3K: K <4 2K: 4–6 🔴 Na Avoid ↑Na for preventing hypotension Thanks @renal_enzo
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DKD
🏁Glycemic Control
🚫 Proteinuria
🚫Hyperfiltration, Inflammation

🔴Antiproteinuric Agents 💊 and
🔴Inflammation mediators agents
SGLTi
GLP1RA
MRA

DKD 🏁Glycemic Control 🚫 Proteinuria 🚫Hyperfiltration, Inflammation 🔴Antiproteinuric Agents 💊 and 🔴Inflammation mediators agents SGLTi GLP1RA MRA #KidneyWk
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Nefro for IM Fellows
and

🔴HIVAN
Active Viral Replication(Podocyte)
FSGS collapsing

🔴TMA
Virions and peptides➡️endotelial cell apoptosis

🔴HIVICK
I-complex deposits
Disregulation immune system
MPGN

🔴👀💊ARV,Tb,HBV,HCV,VL,CD4
Thanks Gustavo Casas

Nefro for IM Fellows #HIV and #CKD 🔴HIVAN Active Viral Replication(Podocyte) FSGS collapsing 🔴TMA Virions and peptides➡️endotelial cell apoptosis 🔴HIVICK I-complex deposits Disregulation immune system MPGN 🔴👀💊ARV,Tb,HBV,HCV,VL,CD4 Thanks @GCasasNefro_MI
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