Returning US surgeon from Gaza describing - as a witness - a heinous crime by IDF soldiers tying hands of two Palestinian kids behind their backs, pushing them on the ground using a TRUCK and BURYING them ALIVE. One of endless stories about IDH brutality https://t.co/UJzzqjVH5g

عشت جائعًا، ومت وحيدًا، وستبعث علينا شاهدًا

Doctors Protecting Children Declaration Press Conference- June 6, 2024 https://t.co/xhD1CRIghy The alarm has FINALLY been sounded from within. A wake-up call has FINALLY been made.

🆕B cell targeting therapies in autoimmune 🫘Disease 🅰️B cell depleting 🧬Anti CD20 mAb-Rituximab/Ocrelizumab/Ofatumumab/Obinituzumab 🧬Anti CD19 mAb -Inebilizumab 🧬Anti CD 38 mAb-Daratumumab 🅱️B cell modulating 🧬Anti BAFF mAb- Belimumab 🧬Anti APRIL mAb

🤰Pregnancy and kidney 🫘 ⤵️physiological changes🤰 ✅Normal creat may be abnormal in pregnancy-GFR🆙40-50%➡️ Creat🔽 🎯S creat>0.7mg/dl abnormal ✅Upto 300mg/day urine protein excretion normal in 🤰 🎯Abnormal>300mg/day @KIReports @ISNeducation https://t.co/Hh3EhyIlmy

🫀🫘Management heart failure with CKD-🆕ESC 💟In HFrEF-Start 4 pillar drugs (all 4 at low dose) 🗼4Pillars 1️⃣ACEi/ARB 2️⃣B blocker 3️⃣SGLTi 4️⃣MRA 👍Tolerate initial eGFR fall-Upto 10%📉 gfr fall from baseline 🆗 🫀HFrEF+CKD-4 pillars (Avoid MRA in gfr<30) @NDTsocial

🫘CKD➡️🧠Stroke 😶‍🌫️CKD⬆️risk of CVA 🫀Cardioembolic m/c ischemic CVA in CKD(AF) 🧠Hemorrhagic CVA-Heparin in HD/ADPKD aneurysms 🙋‍♀️Why⬆️CVA in CKD 1️⃣uremic toxins/blood brain barrier disruption 2️⃣Endothelial dysfunction 💀Prognosis bad 💉less access to lysis @NDTsocial

Lamia Alshayah, 7 y, died today at the European Gaza Hospital from extreme burns following a home bombing last week which killed her entire family, except her 5y old sister Maryam, who’s also in critical condition. If you’re an American don’t look away. We’re responsible.🇵🇸☮️✌️

Qatar becomes the 1st country in the world to send a high-level diplomatic delegation to Gaza, to witness Israel's carnage 1st hand. Headed by Int. Cooperation State Minister @Lolwah_Alkhater. No EU/US official has been to Gaza in 51 days, but they all scramble to visit Israel!

Review by @RAlbacker, Vikas S. Sridhar and David Z.I. Cherney: Novel Therapies in Diabetic Kidney Disease and Risk of Hyperkalemia: A Review of the Evidence From Clinical Trials https://t.co/oqelOxHanH (FREE) @UofTNephrology

Treatment of Hyponatremia from @NephroMD #Nephpearls #KidneyWk 📌 Use of Hypertonic Saline (HTS) 📌 Management of severely symptomatic hyponatremia 📌 Pitfalls of correction 📌 Risk factors for rapid correction 👉 https://t.co/TqbwH0ajRM

Frontiers | Use of immune checkpoint inhibitors in solid organ transplant recipients with advanced cutaneous malignancies

Nice summary of tubular nephrotoxins by @BetterCallSeeth at @GlomCon :

The pivotal event in the pathophysiology of IgAN is the binding of circulating IgA-containing immune complexes to mesangial cells This Review proposes an approach that tackles the different targets in the pathophysiology of IgAN https://t.co/kMHFLnTmUX @fervenzafernan1

Time to implement the #4pillars of “kidney GDMT” - RAS blockade - SGLT2i - ns-MRA - GLP-1 RA Lifetime cardiovascular, kidney & mortality benefits of combination therapy in people with diabetes with albuminuria Now #openaccess in @CircAHA for #AHA23 https://t.co/yRLSRlVujH

Nephrogenic systemic fibrosis (NSF) is an iatrogenic disease that presents with hardening of the skin and other organs. It is often lethal. I treated 5 people with this condition (including one with AKI). Terrible. 2/11

https://t.co/5Nppf6Jc3a Extremely proud to have trained in the SECOND BEST CLINICAL MEDICINE department in the world (Univeristy of Toronto). Such an immense privilege and honour puts a huge responsibility on my shoulder to provide the best possible, and upto date patient care.

Lactic acidosis ca. 2015 from @NEJM #Nephpearls https://t.co/fC5ppl0ExI

Potential origins of obesity-related glomerular hyperfiltration https://t.co/CQCkDBd8gS

This month's cover image inspired by "Acute Kidney Injury and Hair-Straightening Products" by Alon Bnaya et al: https://t.co/CGZQ1uIYl5 Thanks to Editorial Intern @_jeffreyha for curating the cover image & drafting the cover blurb: https://t.co/9AQhsL8kVE