Dr. Hardik Patel 🩺💉

🚨Post-HSCT Kidney Disease? Check this 🔥flowchart mapping AKI, CKD & glomerular pathologies incl. TA-TMA, MN ➕ treatment! 💊Eculizumab, Rituximab, CNIs & more 📖Must-read for every #Nephrologist! @NDTsocial 🔗doi.org/10.1093/ndt/gf… 🆓 #MedTwitter #Nephrology #KTx #HSCT

🧬Genetics is revolutionizing kidney transplantation!🫘 From diagnosing monogenic diseases to predicting long-term graft survival and personalizing Rx💊—the future is here! Check this table from #SeminNeph ⬇️ 👉doi.org/10.1016/j.semn… #KidneyTransplant #Nephrology #Genomics

🧪🧪ANCAs in details. The history , the pattern, their role in pathogenesis of vasculitis , the testing methods and role in prognosis. Excellent article @asnpublications @JASN_News doi.org/10.1681/ASN.00… #ANCA #NephX #MedTwitter #Immunology #BuddingNephros #GSR

🚫 Time to ban Paraquat — a toxic herbicide causing severe AKI, multi-organ failure & high mortality, especially in the young. 📌Even 20 ml can be fatal. No antidote.Have a look at this single centre study from south india in @indianjnephrol @vjha at indianjnephrol.org/acute-kidney-i…

🩺Diagnosis and Mx of AKI on immune checkpoint inhibitors? 🔪When to biopsy? 💉 Steroid or spare? 💊Mycophenolate vs infliximab? #OncoNephrology 🦀 @HerrmannMd #AKI #ImmuneRelatedAE #NephTwitter #Nephrology #MedX 📖 doi.org/10.1093/ckj/sf… 🆕

🦀 Ever wondered how to navigate VEGFi-induced proteinuria or TMA in cancer patients? 🧬 #OncoNephrology CKJ review breaks it down! 🩺 Involve #Nephrology early, avoid non-DHP CCBs & track BP/UPCR closely! 📖 doi.org/10.1093/ckj/sf… 🆕 #MedX #NephTwitter #HTN #VEGFi #Oncology

🤔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

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Now online in @NDTsocial Acute post-streptococcal GN (in children) - treatment standard 🧐 Pathophysiology, diagnosis, outcome prediction, and management standard ▶️academic.oup.com/ndt/article-ab…

🤔Did you know your gut bugs 🦠 may hold the key to healthy kidneys?🫘 Gut dysbiosis = 🔥↑Inflammation, ↑CKD risk SCFAs = 💪🛡️protect kidney, reduce BP & fibrosis Fix the gut, save the kidneys! 🔗 doi.org/10.1007/s00467… #Nephrology #MedTwitter #Microbiome #HTN #SCFA #CKD

📌Hypoglycemic Rx in #CKD – Tailored Choices 💡Choosing glucose-lowering therapy in #DKD? 🧠Think beyond metformin: personalize based on eGFR + HbA1c! 📌Use this clear roadmap to switch safely. 🫀Includes dialysis-friendly options! 🔗 doi.org/10.1111/nep.13… #Nephrology #MedX

💊ACEi/ARB: HyperK, Cr Rise & HypoTN 📊Starting ACEi/ARB? Know what to do if 🧂K⁺ spikes, Cr rises >30%, or 💥hypotension strikes! Save this #NephPearl from APSN DKD Guidelines👇 📉Manage wisely. Don’t fear the Cr bump! 🔗doi.org/10.1111/nep.13… #MedTwitter #Nephrology #HTN

👶Aguascalientes nephropathy🫘 teaches us: CKD often starts even before birth! 👶Low nephron endowment→ early FSGS 🧓2nd CKD peak(50–70 yrs)→ driven by DM, HTN, toxins 👊🏻Early hits+ lifelong exposures= #CKD doi.org/10.1093/ndt/gf… #NephTwitter #Nephrology #PrenatalCare

Kidney News July 2025 @asnpublications Clinical Practice Guidelines for Genetic Testing in ADPKD Neera K. Dahl @pranavgarimella and Fouad T. Chebib kidneynews.org/view/journals/…

📢ISN GREEN-K webinar happening now ♻️ Measures to reduce dialysis waste 👍Prevent dialysis 💻Smart dialysis tech program @ISNeducation @ISNkidneycare

🫘Diabetic Kidney Disease isn’t just about sugar! Check out how ER stress, RAS, PKC,autophagy & lipids 🔄 fuel #DKD 🫘🧬 🎯Emerging therapies beyond SGLT2 & nsMRA👇 💥A visual deep dive from morphology➡️ metabolism! #NephTwitter #DM #MedEd #Nephrology 📖doi.org/10.23876/j.krc…

CKD is NOT a single disease — it’s a final common pathway of diverse hits! 🧬Ischemic, immunologic, toxic, DM, AKI, obstruction — all funnel into renal injury ⚠️Glomerular vs tubular pathways → FSGS vs IFTA 🔗doi.org/10.1093/ndt/gf… 🆕 #NephTwitter #CKD #FSGS #AKI #MedEd

Combination of finerenone and empagliflozin in ckd and t2dm using UACR as end point : CONFIDENCE trial Visual abstract by @namesh217 and the core team of #BuddingNephrologist group. #Updates #NephTwitter #MedTwitter

🚨 COMBO THERAPY WINS??? Finerenone + Empagliflozin **cuts albuminuria 30% MORE** than either drug alone in CKD+T2D. But—short follow-up & no hard outcomes. Still, a BIG step for kidney protection! 👇 #Nephrology #Diabetes #MedTwitter 🔗 nejm.org/doi/abs/10.105…

🩺 The Silent Enemy: Renal Artery Stenosis (#RAS) 🫘 ⚠️Starts silent—ends in 🧠RAAS chaos, 🫁flash edema, & 📉renal doom! 🔬Catch this killer cascade in 1 stunning diagram! ⬇️ 📚Silva et al. (2025) 👉 doi.org/10.3390/jvd401… #NephTwitter #MedTwitter #CKD #HTN #RAAS #FMD