Medical Grand Rounds
Kidney transplant improves survival and long-term outcomes in patients with renal failure.
IM Board Review
Workup revealed the patient had both arterial and venous thrombosis. What was the cause?
The Clinical Picture
A 23-year-old woman presented with hematuria and dysmorphic red blood cells in the urinary sediment.
The renal patient is best served when the nephrologist familiar with the case performs the urine microscopy.
Patients should increase their fluid intake, follow a diet low in salt and animal protein, and take a thiazide diuretic.
For those with advanced chronic kidney disease, the authors recommend a higher dose, more doses, or both.
It is most common in patients with renal impairment, can be life-threatening, and requires a multidisciplinary approach.
From the Editor
African Americans respond differently to some treatments than the white male patients who participated in the clinical trials.
Addressing Disparities in Health Care
African Americans are disproportionately affected; genetic variants in APOL1 provide an important explanation.
Yes, but successful pregnancy requires a team approach, patient education, and counseling.