what to 🔍 when someone has Refractory hypok+🤔 🧐 dextrose (⬆️insulin ) / bicarb solutions 🧐 hypomg2+ ( mg2+ normally blocks K+secretion🏃‍♂️) 🧐 non reabsorbable ions in distal tubules ( penicillins abx) ajkd.org/article/S0272-… #Nephtwitter #MedX

kidney stone formation 🫘and pH 🤒 Alkaline Ph ✅HSP H - High pH S - Struvite P - Phosphate (calcium) Acid Ph ✅LUCk L - Low pH U - Uric acid C - Cystine #Nephtwitter #MEDX source - AJKD core curriculum

can we use urine sodium when someone on chronic stable dose diuertic theraphy for hyponatremia evaluation ? yes ✅ #burtonrosequotes within 1 week ⌛️ a new steady state is reached sodium loss ---> enhanced reabsorbtion by proximal and distal tubule #nephtwitter #MEDX

about 400ml of water intake is enough for normal individuals to match intake to urine output 🤓 " humans drink more than minimum requirement for social and cultural reasons, and the extra water is excreted in the urine."😏😏 #burtonrosequotes #nephtwitter #medtwitter

Literally Nobody : . Burton rose: there are two types of acid of physiological importance - carbonic acid and non carbonic acid 🫡 And then he walks away slowly #burtonrosequotes #nephtwitter #MEDX

òrganisim specific treatment duration for PD peritonitis 🛌 '14 days' for CoNS , Fungal and culture negative peritonitis 🏃‍♂️' 21 days' for others source - Ajkd core curriculum #nephtwitter #MedX

simple algorithims for management of PD catheter mechanical dysfunction #nephtwitter #MedX

🙁blood urea nitrogen is ⬆️ out of proportion to creatinine in prerenal states (BUN / Creat >20) ❓High ADH --> 📈urea reabsorbtion But burton rose moves on ❤️ 1/3 is from muscle ischemia --> proteolysis --> amino acids converted to urea #nephtwitter #MedX #burtonrosequotes