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Srikanth Bathini

@dakidneydoc.bsky.social
722 followers 733 following 29 posts

Nephrologist by Profession|Humanist by Nature|Live and Let Live|KIMS Hospitals Hyderabad,India|ISN#SoMe|Visual Abstract Editor-ASN Journals|Mentor-NSMC,Glomcon

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Reposted by Srikanth Bathini
ISNkidneycare @theisn.org · 30/06/2025
𝗜𝗦𝗡 𝗩𝗜𝗗𝗘𝗢 𝗔𝗕𝗦𝗧𝗥𝗔𝗖𝗧 𝗦𝗘𝗥𝗜𝗘𝗦: APOL1 genotype and HIV infection: 20 year outcomes for CKD, CVD and hypertension. 2025 from @kireports.bsky.social‬ www.kireports.org/ar... #VideoAbstract by ‪@drsumanbehera.bsky.social‬ & @dakidneydoc.bsky.social‬
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Reposted by Srikanth Bathini
myadla.bsky.social @myadla.bsky.social · 05/05/2025
Friends ! Check this survey on Pregnancy AKI Available in 20 languages Do share in your groups qualtrics.kcl.ac.uk/jfe/form/SV_... @dramiliflores.bsky.social @hswapnil.medsky.social @divyaveerssneph.bsky.social @kajareeg.bsky.social @dakidneydoc.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 25/04/2025
Hypoelectrolytemia. Low K, Mg Ca, Na and P. Did you have to use more than the conservative measures for management?
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Dr. Suman Behera @drsumanbehera.bsky.social · 25/04/2025
Sounds like pseudoobstruction... seen in patients with Ogilvie syndrome. Can also cause severe electrolyte dysfunction. But quite rare.. mostly diagnosed by GI before the nephrologists get to see them
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
A big thanks to @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social Thanks to the wonderful #NephSky community for tuning in! #ECNeph
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
A glimpse at the causes of an Acquired Bartter Defect too! #ECNeph @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
How do we manage Ogilvie’s syndrome? @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
❓ What is this Acute Pseudo colonic Obstruction (Ogilvie’s syndrome)? 👉 Several theories have been proposed @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
👉 In vitro studies suggest that colonic Maxi – K channels are upregulated 👉 These are the same channels upregulated in CKD, enhancing gut excretion of potassium 👉 In ESRD, the colonic excretion of Potassium is 3-fold that of normal individuals #ECNeph @myadla.bsky.social @dramiliflores.bsky.social
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
Here are some of the case reports describing hypokalemia in Ogilvie’s syndrome @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
Can there be any other cause for hypokalemia in this case? There are several case reports of Ogilvie’s syndrome being associated with severe hypokalemia @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
Here’s an infographic describing the various mechanisms of hypokalemia Highlighted in brown = Present in this case Shout out to @dana_m_larsen , my Nephrologist colleague from UCSF for the amazing infographic #ECNeph @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
What do you do when there is a fluctuating acid base disorder in hypokalemia? Keep Calm … #ECNeph @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
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Milagros Flores @dramiliflores.bsky.social · 25/04/2025
🧠 worth considering — especially if we have renal potassium-wasting, in the set of GI loss #ECNeph
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
Here’s a review of the initial clinical course: Note that there was a fluctuating acid base balance -> look at the case summary #ECNeph @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
The story doesn’t end here! @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
The patient was treated with 50 mg of Spironolactone and Oral Potassium of 70 mmol per day and maintained normokalemia and normal bowel movements. @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
Now that we know that there is a chloride, Potassium and Calcium loss disorder…. @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org @nephroseeker.medsky.social #ECNeph
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Reposted by Srikanth Bathini
ISNkidneycare @theisn.org · 25/04/2025
28/n what next #ECNeph? Peel another banana? @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
34/ 🧪 What nephron segment could be acting out? #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
36/n What’s your working diagnosis now? Time to zoom in! #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
33/n 📊 So… if it’s not the aldosterone, who’s stealing the K+? #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
22/n 🧐 How would YOU approach this case? What’s the unifying diagnosis? What test or clue are we still missing? #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
32/n 🕵️ What’s behind the potassium leak? need more lab rouns? #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
26/n 🧪 88 mmol/day of urinary K+… Are the kidneys holding back? Clues are leaking! #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
23/n 🕵️‍♂️ Ready to solve the mystery? #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
Amazing picture Welcome @ferarceamare.bsky.social #ECNeph
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ISNkidneycare @theisn.org · 25/04/2025
24/n 🔄 The potassium pendulum swings again—what’s sabotaging K⁺ retention? #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
25/🔬 ↓ K+, ↓ Mg2+ and alkalosis joins the plot 🧪 We’ve seen this trio before... but where? #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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Dilushi Wijayaratne @dilushiwijay.bsky.social · 25/04/2025
MUDPILES! #ECNeph
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ISNkidneycare @theisn.org · 25/04/2025
21/n 🧠 The Potassium Puzzle: Still unsolved? 🕵️ This slide’s got suspects—can you spot the culprit? #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
20/n 😳 Still hypokalemic after all that? What’s so peculiar? ⚠️ Potassium wasting? GI sequestration? Something rarer? #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
🚨The potassium climb: what a wild ride on this case!!! Colonic decompression - large potassium supplementation #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
Do you agree with the diagnosis? any other ideas? #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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myadla.bsky.social @myadla.bsky.social · 25/04/2025
#ECNeph Great discussion going on Glad to join @dakidneydoc.bsky.social @dramiliflores.bsky.social
media.tenor.com
a cartoon character with a plant growing out of it 's head is saying `` hello '' .
ALT: a cartoon character with a plant growing out of it 's head is saying `` hello '' .
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ISNkidneycare @theisn.org · 25/04/2025
13/ How does hypokalemia affect the colon? ⚠️ ⚠️ In hypokalemia, increased activity of ENaC & BK channels may paradoxically worsen K⁺ loss → Vicious cycle of K-wasting #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social pmc.ncbi.nlm.nih.gov...
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Srikanth Bathini @dakidneydoc.bsky.social · 25/04/2025
When in doubt, take a step back and observe Your everyday cases may sometimes not be what residency prepares you for! #ECNeph
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ISNkidneycare @theisn.org · 25/04/2025
11/n 🧠 Something’s not adding up… Time to take a step back. #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
12/n 🤔 What’s the link between gut, lungs, and electrolytes? Keep following—#ECNeph👇 @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
10/n 🔍 CT Time! 🌀 Obstruction? Paralytic ileus? Something more ominous? Take a closer look 👀 #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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Dilushi Wijayaratne @dilushiwijay.bsky.social · 25/04/2025
paralytic ileus? #ECNeph
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ISNkidneycare @theisn.org · 25/04/2025
9/n The acid-base alarm is ringing 🔔 So… what’s causing the gap? Any more clues? #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
8/n 💉 ChemMystery! 🤕 That’s severe hypokalemia, mild AKI, and possible sepsis brewing. Electrolytes don’t lie❗ But what’s the why? Any more clues? #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
7/n Could this be driven by an inflammatory or infectious process? Time to think about the broader approach—and consider the possibilities. #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social pubmed.ncbi.nlm.nih....
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ISNkidneycare @theisn.org · 25/04/2025
6/n 🩸What do you see here? CBC = Chaos? 🧪 Mild transaminitis 🤔 What could tie this together? #ECNeph #MedSky #NephSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
5/n 🔍 At admission Sounds like more than just GI discomfort, right? Any thoughts ⬇️ #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
1/n 🚨#ECNeph returns! Time to meet our next patient... A 50-year-old lady walks into your nephrology radar. What would you be looking for next? Clues ahead… 👀🔍 #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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ISNkidneycare @theisn.org · 25/04/2025
2/n 🔍 Let’s add some spice! She now presents with: 🌀 Repeated vomiting 🌡️ Intermittent fever🪠 Abd distension what's your diagnostic clue? 🧩 #ECNeph @dakidneydoc.bsky.social @dramiliflores.bsky.social @myadla.bsky.social @dilushiwijay.bsky.social
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Fernanda Arce-Amaré @ferarceamare.bsky.social · 25/04/2025
Hello! I’m Fernanda Arce joining today’s #ECNeph from Mexico City, land of the jacarandas 💜
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ISNkidneycare @theisn.org · 25/04/2025
Where’s the potassium going? 🕵️‍♂️ Any culprits?⚡ Renal losses or ⚡ GI losses — any difference? 💥 Bring your K⁺ game to the table! @dakidneydoc.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org #ECNeph #NephSky #MedSky
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