iiinova — where your digital self keeps evolving

Oscar R Durón @osduvar.bsky.social · 21/06/2025

Congratulations to all the Interns of this new program! Looking forward to follow their journey.

Reposted by Oscar R Durón

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 25/04/2025

A one year delay in diagnosis of #hypertension! Clear illustration of the importance of measuring BP in both arms www.ahajournals.org/doi/10.1161/... in @ahajournals.bsky.social Hypertension

Table. Timeline of Clinic Visits and Blood Pressure Measurements

Figure. Computed tomography angiography (CTA) of subclavian artery stenosis. Axial CTA image of this patient with subclavian artery stenosis. A, Patent subclavian artery (indicated by the arrow) distal to the site of the occlusion. B, A more inferior axial image with an absence of contrast in the subclavian artery at the level of the subtotal occlusion while (C) demonstrates the most inferior and proximal to the aortic arch and re-demonstrates a patent proximal portion of the subclavian artery. This is consistent with a subtotal occlusion of the subclavian artery with distal reconstitution likely via the left vertebral artery

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Reposted by Oscar R Durón

kireports.bsky.social @kireports.bsky.social · 26/03/2025

Our topic: Use of dapagliflozin (SGLT2 inhibitor) in patients with autosomal dominant polycystic kidney disease (ADPKD) concurrently on tolvaptan therapy. There are no conflicts of interest. #MedSky #NephSky Article: www.kireports.org/article/S2468-0249(25)00048-8/fulltext

kireports.org

Open-Label, Randomized, Controlled, Crossover Trial on the Effect of Dapagliflozin in Patients With ADPKD Receiving Tolvaptan

Although dapagliflozin, a sodium-glucose cotransporter 2 (SGLT2) inhibitor, delays the progression of chronic kidney disease (CKD), its effect on patients with autosomal dominant polycystic kidney dis...

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Reposted by Oscar R Durón

Nephrology Journal Club @nephjc.bsky.social · 12/03/2025

Not lastly, #NephSky #MedSky ✨This year we try something new: #nephjc internship If curious, wanna apply, need to be part of our world-wide community, apply 👇

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Reposted by Oscar R Durón

American Journal of Kidney Diseases @ajkd.bsky.social · 15/03/2025

Need weekend plans? Catch up on all the #NephMadness 2025 regions: -Resistant Hypertension -Obesity -Green House -Minimal Change Disease -Disaster Nephrology -Genetics -Hemodialysis -CAR-T for Kidney Disease Happy reading! bit.ly/4iMNijV

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Oscar R Durón @osduvar.bsky.social · 26/02/2025

I order it in resistant hypertension or young patients with hypertension. I admit I have a wonderful endocrinologist team who helps me interpret results and go further with more tests if necessary.

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Oscar R Durón @osduvar.bsky.social · 20/02/2025

That’s where I am coming from. Thank you for your input on this.

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Oscar R Durón @osduvar.bsky.social · 20/02/2025

Do this interfere on your decision making? Having proteinuria <1 gr or >2 gr can make a difference in some patients.

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Oscar R Durón @osduvar.bsky.social · 20/02/2025

That’s a very good point. Thank you.

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Oscar R Durón @osduvar.bsky.social · 19/02/2025

Thank you very much. Very helpful! 🙆🏽‍♂️

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Oscar R Durón @osduvar.bsky.social · 19/02/2025

Now that we are in the subject, do you have any specific use for Cr excretion? Do you consider any specific value for “high” and “low” or just go with what your lab parameters?

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Oscar R Durón @osduvar.bsky.social · 19/02/2025

I’ll take a look. Thank you very much!

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Oscar R Durón @osduvar.bsky.social · 19/02/2025

BMI > 30 but no hyperflitration in eGFR.

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Oscar R Durón @osduvar.bsky.social · 19/02/2025

All I found was this study, which concludes that there is a strong correlation between both tests. In my clinical practice, this is not the case. I want to hear everyone’s thought on this. Here to learn! www.revistanefrologia.com/es-pdf-X0211...

revistanefrologia.com

Correlación entre el cociente proteína/creatinina en orina esporádica y las proteínas en orina de 24 horas

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Oscar R Durón @osduvar.bsky.social · 19/02/2025

A question to all Nephrologists, how do you approach the difference in proteinuria between samples of spot urine and 24 hr urine? In this example: - Spot Urine Alb/Cr ratio: 938 mg/g - 24 hrs: 2,177 mg/24 hrs My calculations for Alb/Cr ratio in 24 hr is 985 mg/g #AskRenal

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Reposted by Oscar R Durón

Nephrology Journal Club @nephjc.bsky.social · 17/12/2024

🎨The visual abstract made by @drnikhil.bsky.social #NephSKy #MedSKy, tonight #NephJC goes with an oldie but still goldie topic: RASi in advanced CKD ⏰ Same hour, 9 pm EST www.nephjc.com/news/2024/12...

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Oscar R Durón @osduvar.bsky.social · 17/12/2024

Thank you for the insight @jamiekwillows.bsky.social , it definitely spiced up the discussion. And thank you to all the @nephjc.bsky.social team for having my back on this one. I deeply appreciate it and feel flattered to have the opportunity to participate.

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Oscar R Durón @osduvar.bsky.social · 17/12/2024

Afraid of RASi on advanced CKD? Should we initiate ACEi and ARBs in stage 4 CKD? Is it safe? Is it worth the risk? Find the answers in this week’s #NephJC blogpost about the most recent meta-analysis on the subject. Spoiler: Keep Calm and Aceit! www.nephjc.com/news/aceing-...

nephjc.com

ACEing the management of advanced CKD — NephJC

This week we come to meta-analyse, strikingly late, the cornerstone of all CKD treatments. Are you still in doubt? We need ACEing CKD to the end of GFR, and beyond

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Oscar R Durón @osduvar.bsky.social · 04/12/2024

I wouldn’t mind doing my Residency again 😅.

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Oscar R Durón @osduvar.bsky.social · 28/11/2024

I understood that a solute is or not an effective osmole not because of its ability to permeate a cell membrane but it’s a ability to create a gradient by “dragging water”. Am I wrong about this? Saying urea isn’t an effective osmole is confusing to me, because of desequilibrium syndrome.

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Oscar R Durón @osduvar.bsky.social · 28/11/2024

Of course. But I meant a gradient caused by Urea in hemodyalisis (chronic patients on their first sessions) and a gradient that occurs for example in a rapid correction of hyponatremia.

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Oscar R Durón @osduvar.bsky.social · 28/11/2024

So the gradient occurs either way, right? With Sodium and Urea?

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Oscar R Durón @osduvar.bsky.social · 28/11/2024

I’d like to ask, why do we have disequilibrium syndrome in some patients in hemodyalisis? What does the shift in serum Urea does in the brain? I know it is rare now, but it is still discussed.

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Oscar R Durón @osduvar.bsky.social · 13/11/2024

“Inner work is not all ecstatic surrender. Don’t listen too often[…] to the comforting part of the self that gives you what you want. Pray instead for a tough instructor.” - The Essential Rumi

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