Clinical nugget - monoclonal IgM can cause falsely elevated creatinine as measured by enzymatic assay (which most labs now use). eGFR-creatinine by Jaffe and nuclear medicine GFR in this case report both normal. #renalSCE #ESEneph academic.oup.com/ndt/article/21…

Taken me so long to proof read #nephroshotz 4 that now I've got to the hyponatraemia section I'm all like "so THAT'S why the sodium can drop if you infuse normal saline into a patient with SIADH" 😳

In my desperate bid to keep pace with Stranger Things, Nephroshotz Book 4 is now #runningupthathill to the Kindle Store (and by popular demand also the Google Play store). Acid-base, electrolytes and tubular physiology mean lots of fertile ground for #renalSCE #ESENeph questions!

I’m a dialysis patient and I’m also a cardiology trainee. The deanery are sending me to a hospital 1.5 hours away during rush hour. If I leave at 1730, home at 1900, start 4 hours dialysis at 1930, needles out ~00:00. To me that’s unsustainable, but deanery are deaf to my concern

Written before the recent BMJ meta-analysis was published (but after PEXIVAS) - easy to read, thought-provoking and free to access digest on the role of PEx in AAV from the Imperial vasculitis group #renalSCE link.springer.com/article/10.100…

Spotted at #kidneywk Last year's campaign posters for my Barts Health nephrotic syndrome clinic (courtesy of Michelle Allan )

Excited about the new NICE guideline out today for subarachnoid haemorrhage. Has significant and useful implications for ED and AIM. nice.org.uk/guidance/ng228

🚨Nephroshotz Book 2 now fully updated and live on the Kindle Store🚨 Just re-download to get yourself the new edition 👀 #renalSCE #SCEneph #MedEd

🚨Nephroshotz Book 3 now fully revised and updated and available on the Kindle store🚨 Owners simply remove from device and redownload to get the updated content. All 4 books are now 'current' ready for anyone sitting the #renalSCE #ESENeph exam in Sep 23. Good luck!

GNs keep being reported with #Immunotherapy kidneymedicinejournal.org/article/S2590-… Kidney Medicine Pembrolizumab-Induced Anti-GBM Glomerulonephritis: A Case Report

Finally found some time to put some work into #Nephroshotz Book 5 this weekend. And my brain is currently overflowing with oxalate (figuratively, not literally, although I am now tempted to try making myself a purslane salad) #renalSCE #ESEneph #Meded

I'm often referred to simply as "The Doctor" at Newham Dialysis Unit, and I'm glad I remembered my sonic screwdriver today as there has been an attack of the Cybermen 🤖🪛