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Dilushi Wijayaratne

@dilushiwijay.bsky.social
700 followers 341 following 34 posts

Consultant Nephrologist| Lecturer, Colombo. #NSMC 2021| @GlomCon Instructor |@ISNEducation | @AJKD intern 22/23 | DPhil student |RSG|@Oxford_NDPH | MSc Clinical trials(Oxon) 2021/23

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Kajaree @kajareeg.bsky.social · 27/03/2026
🎊 New drug revolutionising the management of #obesity ✅ New kid on the block 👀 Check out the visual abstract of the #REMODEL trial #semaglutide @theisn.org #ISNWCN @dilushiwijay.bsky.social @nephroseeker.medsky.social @dramiliflores.bsky.social
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AS @renfamilia.bsky.social · 30/05/2025
Glad to have discussed the case for #ECNeph. Thank you all for your support and guidance! @myadla.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @theisn.org 🙌
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ISNkidneycare @theisn.org · 26/06/2025
🚨 Cardiorenal Syndrome (CRS): A Deadly Duo 🚨 Did you know the heart & kidneys are so intertwined that dysfunction in one can wreak havoc on the other? Let's dive into CRS today. A lucid read for every nephrology & cardiology fellow 🫀🩺 #MedTwitter #ISNTweetorial
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Dilushi Wijayaratne @dilushiwijay.bsky.social · 30/05/2025
Hi this is Dilushi, joining a bit late! And lurking tonight #ECNeph
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Dilushi Wijayaratne @dilushiwijay.bsky.social · 23/05/2025
“Now we must… turn words into actions: We need steady investment, teamwork across sectors, and real action in every corner of the globe. This isn’t just about better kidney care -it’s .. making healthcare fairer & more accessible for everyone, especially in LMICs that need it most.” 👏🎉
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ISNkidneycare @theisn.org · 23/05/2025
🌍 History made! For the first time, kidney care is on the global health agenda. #WHA78 adopted a landmark resolution recognizing kidney health in the fight against #NCDs. 👏 Thanks to Guatemala and the global kidney community for making this possible! #KidneyHealthMatters
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 22/05/2025
longer discussion including MRAs and ASIs here www.nephjc.com/news/2024/10... #WorldHypertensionDay
nephjc.com
Finerenone Finally Finishing off Spironolactone? — NephJC
A commentary putting the recent finerenone and spironolactone trials in perspective
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 22/05/2025
BP Targets: the @kdigo.org www.nephjc.com/news/kdigo-bp The ESPRIT trial discussion www.nephjc.com/news/esprit The BPROAD discussion www.nephjc.com/news/bproad #WorldHypertensionDay #120ForAll
nephjc.com
The KDIGO 2021 BP Guidelines — NephJC
KDIGO; BP; blood pressure; guidelines; kidney; kidney disease; CKD; transplant; bp measurement; AOBP; ABPM; ACE inhibitors
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 22/05/2025
The @thelancet.com review on global BP control www.thelancet.com/journals/lan... Worsening BP control in Canada www.sciencedirect.com/science/arti... Improving BP control in US from @amjhypertension.bsky.social academic.oup.com/ajh/article/... #Hypertension #WorldHypertensionDay
thelancet.com
Global and national high blood pressure burden and control
High blood pressure is a leading modifiable cause of premature death and one of WHO's global targets for the prevention of non-communicable diseases. Monitoring high blood pressure globally while unde...
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 22/05/2025
K issues #NephJC www.nephjc.com/news/salt-su... Podcast www.nephjc.com/freelyfilter... K switch mechanism pubmed.ncbi.nlm.nih.gov/38081406/ in @ajkd.bsky.social pubmed.ncbi.nlm.nih.gov/37772757/ from @amjhypertension.bsky.social journals.physiology.org/doi/full/10.... #WorldHypertensionDay
nephjc.com
The Na-K Exchange Saves Lives — NephJC
This week, we will discuss the SSASS trial. in which a simple switch of table salt with a K-enriched salt works miracles. Is it about the sodium or the potassium?
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Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 22/05/2025
The ARNI data in CKD here pubmed.ncbi.nlm.nih.gov/30002098/ #WorldHypertensionDay
pubmed.ncbi.nlm.nih.gov
Effects of Sacubitril/Valsartan Versus Irbesartan in Patients With Chronic Kidney Disease - PubMed
URL: http://www.isrctn.com . Unique identifier: ISRCTN11958993.
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ISNkidneycare @theisn.org · 17/05/2025
#23 𝗦𝗔𝗩𝗘 𝗧𝗛𝗘 𝗗𝗔𝗧𝗘 for next Space #WorldHypertensionDay: "Hypertension and the Kidneys." @edgarvlermamd.bsky.social @hswapnil.medsky.social @myadla.bsky.social @dilushiwijay.bsky.social @ferarceamare.bsky.social 🗓️ May 22 🕑 3:00 pm CEST ⏰ Set your alarm here: twitter.com/i/spaces/1jM...
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ISNkidneycare @theisn.org · 15/05/2025
Great meeting with the @ISNEducation social media team; lots of exciting projects on the horizon! We're looking forward to what’s coming next, so stay tuned!
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Charu Malik @charumalik.bsky.social · 13/05/2025
Guatemala's resolution on kidney health: a historic opportunity - The Lancet www.thelancet.com/journals/lan... Tonelli et al: "We call on all 193 UN Member States to bring about positive change by voting to adopt Guatemala's resolution on kidney health at the 78th WHA in May, 2025."
thelancet.com
Guatemala's resolution on kidney health: a historic opportunity
Although much remains to be done, tremendous progress has been made on the prevention and control of chronic non-communicable diseases (NCDs), with slow but steady health gains achieved for millions o...
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Gordon Hodson @gordonhodsonphd.bsky.social · 13/05/2025
#AcademicSky #AcademicPublishing #AcademicChatter
Vulture as Reviewer #2, about to drop piano on man thirsty in desert, about to drink water.
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
📅 Get ready for the next #NephJC on May 29 🧠💊 We’ll dive into: Lorundrostat for Uncontrolled Hypertension — efficacy, safety, and what it means for the future of BP management. ⏰ #NephSky #MedSKy @nejm.org www.nejm.org/doi/ful...
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Juan Carlos Q Vélez, MD @juancarlosqvelez.bsky.social · 14/05/2025
#NephJC One of my fave all time papers in this topic is a proof-of-concept DDAVP in CKD: reduces bleeding time consistently @nejm.org pubmed.ncbi.nlm.nih.gov/6401193/
pubmed.ncbi.nlm.nih.gov
Deamino-8-D-arginine vasopressin shortens the bleeding time in uremia - PubMed
In a randomized double-blind cross-over trial we gave either 1-deamino-8-D-arginine vasopressin or placebo to 12 patients with uremia, hemorrhagic tendencies, and prolonged bleeding times. After vasop...
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
Don´t forget to advocate the resolution led by Guatemala on #WHA78: 🌍 Chronic kidney disease affects over 850M We must shift from silent neglect to strategic action. Awareness, prevention, and equity in care are our next steps. #NephJC @theisn.org #NephSky #MedSky www.thelancet.com/jo...
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Brian Rifkin @brianrifkin.bsky.social · 14/05/2025
One the one hand, low risk intervention. On the other hand, still unclear benefits. We doctors like to feel like we are doing something to prevent bad outcomes…but “don’t just do something, sit there” is also appropriate in many patients #NephJC
media.tenor.com
a man stands in front of a whiteboard with the word wait written on it
ALT: a man stands in front of a whiteboard with the word wait written on it
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
🩸Desmopressin appears safe, any serious risks? Hyponatremia, headaches, hemoglobin drop 🧪 We need stronger data on who, when, and how much. #NephJC
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
#NephJC pubmed.ncbi.nlm.nih.gov/7702050/
pubmed.ncbi.nlm.nih.gov
Defective platelet aggregation in uremia is transiently worsened by hemodialysis - PubMed
Bleeding is a prominent feature of uremia and remains a significant cause of morbidity in hemodialysis (HD)-dependent patients. To measure the impact of the HD procedure, we performed a prospective cr...
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Juan Carlos Q Vélez, MD @juancarlosqvelez.bsky.social · 14/05/2025
I do that too. If severe AKI or CKD stage 5 knocking the uremia door I lower my HD threshold. That’s an area where data are needed though #NephJC
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Milagros Flores @dramiliflores.bsky.social · 14/05/2025
#NephJC
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
specific studies comparing the efficacy of different administration routes is limited in kidney biopsy, in some cases for hematological disorder better SC #NephJC
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
🧪 Two RCTs, one question… very different paths: 🔹 Same drug 🔹 Different patients 🔹 Different doses 🔹 Different needles 🔹 Different expectations Feeling any twist ahead? #NephJC
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
🩸Kidney biopsy is essential for diagnosis, but bleeding remains a key concern — especially in CKD, and when it comes to preventing bleeding? On 2019 @ajkd.bsky.social core curriculum left us without clear guidance. #NephJC
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Nephrology Journal Club @nephjc.bsky.social · 14/05/2025
🎨Beautiful visual abstract by Divya Bajpai #NephJC www.nephjc.co...
nephjc.com
Desmopressin for kidney biopsy - The Visual abstract — NephJC
Does desmopressin reduce the risjk of post kidney biopsy bleeding? Checkout the beautiful VA answering this practical question by NSMC faculty Dr Divya Bajpai.
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Dilushi Wijayaratne @dilushiwijay.bsky.social · 14/05/2025
Hi this is Dilushi, nephrologist from Colombo! First time joining #nephJC on Bluesky! No COI
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ISNkidneycare @theisn.org · 09/05/2025
📖 This weekend don't miss our @kireports.bsky.social #ISNFridaySelection: Open-Label, Randomized, Controlled, Crossover Trial on the Effect of Dapagliflozin in Patients With ADPKD Receiving Tolvaptan www.kireports.org/ar...
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ISNkidneycare @theisn.org · 08/05/2025
Iptacopan reduces proteinuria and stabilizes kidney function in C3 glomerulopathy. 2025 from @kireports.bsky.social www.kireports.org/ar... #VideoAbstract by @dilushiwijay.bsky.social & @priti899.bsky.social
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ISNkidneycare @theisn.org · 08/05/2025
𝗜𝗦𝗡 𝗩𝗜𝗗𝗘𝗢 𝗔𝗕𝗦𝗧𝗥𝗔𝗖𝗧 𝗦𝗘𝗥𝗜𝗘𝗦: Efficacy & safety of pegcetacoplan in kidney transplant recipients w/recurrent C3G or primary IC-MPGN: 12-week results: NOBLE study. 2025 @kireports.bsky.social www.kireports.org/ar... #VideoAbstract by @dilushiwijay.bsky.social & Divya Bajpai
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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
❓ 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
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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Dilushi Wijayaratne @dilushiwijay.bsky.social · 25/04/2025
Have we done urine electrolytes ? #ECNeph
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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
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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Dilushi Wijayaratne @dilushiwijay.bsky.social · 25/04/2025
Hi Im Dilushi, nephrologist form Colombo.. first time joining #ECNeph on bluesky! No COI
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Milagros Flores @dramiliflores.bsky.social · 25/04/2025
⏰ Just 2 hours before #ECNeph! 🔍What is hypokalemia for nephrologists? Is it really a diagnostic puzzle 💥 Let’s connect the dots live in today’s case discussion! #NephSky #MedSky @dakidneydoc.bsky.social @dramiliflores.bsky.social @dilushiwijay.bsky.social @kajareeg.bsky.social @theisn.org
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ISNkidneycare @theisn.org · 17/04/2025
Limited understanding of CKDU, scarce resources, and weak infrastructure hinder comprehensive care for affected populations. @dilushiwijay.bsky.social, Senior Lecturer, University of Colombo, Sri Lanka. Stay tuned for the Policy Forum Pamphlet! 🔗 lite.spr.ly/6...
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Sayali Thakare @sayalibthakare.bsky.social · 11/04/2025
“The CPC Forum: Navigating Dilemmas in Modern-Day Nephrology Practice” Join us for this interesting exploration of the traditional CPC format where deductive reasoning meets modern diagnostic tools! 🔬🧬📝🔍 🏥: KEM Hospital, Mumbai 🗓️: 26th April, 2025 ⏰: 9.30 am - 5.00 pm forms.gle/2rrzSY7E3NTi...
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ISNkidneycare @theisn.org · 28/03/2025
18/n #ECNeph @drsumanbehera.bsky.social @myadla.bsky.social @drpriyajohn.bsky.social @theisn.org Diversity of Kidney involvement in Neuroendocrine tumors !
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ISNkidneycare @theisn.org · 28/03/2025
19/n #ECNeph @drsumanbehera.bsky.social @myadla.bsky.social @drpriyajohn.bsky.social @theisn.org Check this informative slide on tubular involvement in CgAN
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ISNkidneycare @theisn.org · 28/03/2025
17/n #ECNeph @DrSumanBehera.bsky.social @myadla.bsky.social @drpriyajohn.bsky.social @theisn.org Lets check this wonderful infographic on - Approach to intratubular casts !
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ISNkidneycare @theisn.org · 28/03/2025
17b/n #ECNeph @drsumanbehera.bsky.social @myadla.bsky.social @drpriyajohn.bsky.social @theisn.org Here is some more info about CgA....
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
Have any of you encounter Chromogranin A (CgA) Nephropathy/Tubulopathy? Not sure how to add a poll on BSKY!🤔 #ECNeph #ISNEducation #MedEd #Nephrology @myadla.bsky.social @drpriyajohn.bsky.social @drmarthagulati.bsky.social @dilushiwijay.bsky.social l @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
🗜️What is #ChromograninA ? ☠️HOW DOES IT ACT? ➡️ cytokines, degranulation, apoptosis... Lots of inflammatory processes⚡️ #ECNeph #ISNEducation #MedEd #Nephrology @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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Dr. Suman Behera @drsumanbehera.bsky.social · 28/03/2025
#ECNeph #CgATubulopathy #CgANephropathy ➡️ Acute Tubular Injury. 🗜️#chromograninA expands/swells and collects within #ProximalTubules 🏗️ #CgA forms intraluminal #tubular #casts @myadla.bsky.social‬ @drpriyajohn.bsky.social @dilushiwijay.bsky.social @theisn.org @arvindcanchi.bsky.social
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