#DabigatranOverdose- Urgent Management; Serious power of Twitter! @caioqualunque @edgarvlermamd @LangoteAmit @hswapnil @HekmagsMD @nephondemand

@hswapnil @edgarvlermamd @nephondemand going to hd my first dabigatran overdose. Do u have any advice?

— Fra Ian (@caioqualunque) May 15, 2015

@caioqualunque we had a ❓about that last year on the NOD+ 💬 https://t.co/2mXIgzeJxY #pradaxa #dabigatran 🆓 NOD+: http://t.co/WRZRbccxDx

— Tejas Desai, MD (@nephondemand) May 15, 2015

@caioqualunque Will PCC work, as thrombin is inhibited by Dabigatran? http://t.co/7tDat8AJtv

— Thahir (@docthahir) May 15, 2015

@docthahir off-label use, no definitive evidence, only anecdotal experience. PCC would work as a thrombin substitution therapy.

— Fra Ian (@caioqualunque) May 15, 2015

@caioqualunque SUSTAINED LOW EFFICIENCY hemodialysis for removal of dabigatran #Nephpearls http://t.co/HalfrVGiev pic.twitter.com/iQKOd3kEJR

— Edgar V. Lerma (@edgarvlermamd) May 15, 2015

@caioqualunque During HD, due to large Vd of dabigatran ➡️ Rebound in drug level #Nephpearls http://t.co/rvMoreC46i pic.twitter.com/SzMlfqzPEp

— Edgar V. Lerma (@edgarvlermamd) May 15, 2015

@caioqualunque @edgarvlermamd @HekmagsMD Needed around 4 sessions of conventional HD to get INR closer to safe range.

— Amit Langote (@LangoteAmit) May 15, 2015

@caioqualunque @hswapnil @edgarvlermamd @nephondemand FEIBA is also recommended prior to catheter placement. Again, just anecdotal cases

— Hector Madariaga (@HekmagsMD) May 15, 2015

@nephondemand @HekmagsMD @caioqualunque antagonizes factor VIII inhibitor http://t.co/b98433v1R0 pic.twitter.com/Q5H9TJOjvV

— Swapnil Hiremath, MD (@hswapnil) May 15, 2015

@nephondemand @caioqualunque FEIBA ( Factor Eight Inhibitor Bypass Activity) http://t.co/UmnGlLgTHG

— Hector Madariaga (@HekmagsMD) May 15, 2015

@caioqualunque @edgarvlermamd A good review in CJASN on Dabigatran and kidney with flowchart for Toxicity https://t.co/9o6EWKaJqI

— Amit Langote (@LangoteAmit) May 15, 2015

@caioqualunque Approach to Dabigatran associated bleeding #Nephpearls http://t.co/m2dfKq7uyp Thanks @LangoteAmit pic.twitter.com/AFrp6E4b5h

— Edgar V. Lerma (@edgarvlermamd) May 16, 2015

#NephMadness - Most common glomerular disease in the world? asks @AJKDblog

What is the most common glomerular disease in the world? #NephMadness

— AJKD Blog (@AJKDblog) February 22, 2015

@AJKDblog diabetic nephropathy?

— Joel Topf (@kidney_boy) February 22, 2015

@AJKDblog IgA Nephropathy pic.twitter.com/SQsnqi2dNW

— Edgar V. Lerma (@edgarvlermamd) February 23, 2015

@AJKDblog diabetic nephropathy? #NephMadness IgA is most common primary glom dz Other option would be thin basement membrane dz

— Swapnil Hiremath, MD (@hswapnil) February 22, 2015

@AJKDblog or which world? Earth or some fictional world?

— Swapnil Hiremath, MD (@hswapnil) February 23, 2015

@kidney_boy @AJKDblog @hswapnil Ok. How about Berger's Disease? Synpharyngitic Glomerulonephritis?

— Hector Madariaga (@HekmagsMD) February 23, 2015

@AJKDblog FSGN?

— Ed (@Rx_Ed) February 23, 2015

@Rx_Ed the answer was preeclampsia #nephmadness

— AJKD Blog (@AJKDblog) February 23, 2015

@edgarvlermamd people get pregnant more than once.... Preeclampsia #NephMadness

— AJKD Blog (@AJKDblog) February 23, 2015

@AJKDblog jeez, would hv never ever guessed that.So its least common in Monaco & Hong Kong which hv lowest birth rate (6.75 & 7.5/1000p/yr)

— Amit Langote (@LangoteAmit) February 23, 2015

@AJKDblog Great point http://t.co/CG64VRzCDz pic.twitter.com/LfY8kpqckS

— Edgar V. Lerma (@edgarvlermamd) February 23, 2015

Monoclonal Gammopathy of Renal Significance - A collection of tweets and blogs 2009-2015

Abstract of article: Diagnosis of monoclonal gammopathy of renal significance http://t.co/a5YtfMimJo

— Nephrology (@NephRRology) February 14, 2015

Review of MGRS: monoclonal gammopathy of renal significance: http://t.co/N9By6BgIFC pic.twitter.com/lTdWlOaOWV

— Swapnil Hiremath, MD (@hswapnil) February 14, 2015

Serum Free Light Chain Test for Monoclonal Gammopathy #Nephpearls https://t.co/2tcoDessPu pic.twitter.com/O32qFJH9AD

— Edgar V. Lerma (@edgarvlermamd) January 25, 2015

Diagnostic Tests for Monoclonal Gammopathy #Nephpearls https://t.co/2tcoDessPu pic.twitter.com/giAGaU7xMZ

— Edgar V. Lerma (@edgarvlermamd) January 25, 2015

MGUS, Myeloma, AL Amyloidosis: most common monoclonal gammopathies #Nephpearls https://t.co/2tcoDessPu pic.twitter.com/35IzATQ6tK

— Edgar V. Lerma (@edgarvlermamd) January 25, 2015

“@ab2814: @NephJC http://t.co/wY7cSlrA6U” for #NephJC?

— Swapnil Hiremath, MD (@hswapnil) January 23, 2015

@kdjhaveri @ab2814 @NephJC @Nephro_Sparks Agree. Nice topic, but this is a review. Didn't you write on it? http://t.co/r190TeJv22

— Swapnil Hiremath, MD (@hswapnil) January 23, 2015

Topic discussion: Proximal tubulopathies with monoclonal light chains | http://t.co/avDFZWTp3w

— Am Soc Nephrology (@ASNKidney) January 21, 2015

Great article: Proliferative Glomerulonephritis Due to Monoclonal Deposition With Organized Substructu... http://t.co/xLWfloALyH #ReadByQxMD

— Nikhil Shah (@dr_nikhilshah) October 22, 2014

Monoclonal Gammopathy of Renal Significance Classification Scheme #Nephpearls http://t.co/7OoTrdGNAp pic.twitter.com/o6eYVi8Ezm

— Edgar V. Lerma (@edgarvlermamd) August 24, 2014

eAJKD Top Posts of 2013 #3 Monoclonal Gammopathy of Renal Significance http://t.co/GJAcqsmhF6

— Dr. Matt Sparks (@eAJKD) December 27, 2013

Pathology of Nephrotoxicity Associated With Monoclonal Antibody Therapy http://t.co/PC4dJwsFog

— Dr. Matt Sparks (@eAJKD) June 11, 2013

Most Popular: Accelerated Renal Allograft Failure Due to Monoclonal Gammopathy of Undetermined Significance: No ... http://t.co/9EHRTu4y

— Transplantation (@TransplantJrnl) April 24, 2012

Current Research: Serum free light chain assessment in monoclonal gammopathy and kidney disease. http://bit.ly/7aTWe8

— Nephrology Now (@nephrologynow) November 22, 2009

All about Magnesium! @edgarvlermamd

Renal Physiology 101: Renal magnesium re absorption #Nephpearls http://t.co/i0PrXP21sr pic.twitter.com/nxOC2L9n88

— Edgar V. Lerma (@edgarvlermamd) December 28, 2014

Model of magnesium reabsorption in the Distal Convoluted Tubule #Nephpearls http://t.co/zfnSlcr94d pic.twitter.com/mGLllimaYC

— Edgar V. Lerma (@edgarvlermamd) December 28, 2014

Electrolyte handling in the Distal Convoluted Tubule #Nephpearls http://t.co/i0PrXP21sr pic.twitter.com/jhRhjGeUBC

— Edgar V. Lerma (@edgarvlermamd) December 28, 2014

Nice discussion of Diff Dx of Magnesium disorders @RenalFellowNtwk A MUST KNOW #Nephpearls http://t.co/d0c13xagwd pic.twitter.com/zATfkZUMUm

— Edgar V. Lerma (@edgarvlermamd) December 28, 2014

Inherited forms of hypomagnesemia and associated genes #Nephpearls http://t.co/i0PrXP21sr pic.twitter.com/wiB3PrEFoZ

— Edgar V. Lerma (@edgarvlermamd) December 28, 2014

Cetuximab induced hypomagnesemia via inhibition of EGF #Nephpearls http://t.co/PGl2Q58FAR pic.twitter.com/b50OVn0L89

— Edgar V. Lerma (@edgarvlermamd) December 28, 2014

PPI induced hypomagnesemia due to TRPM6 related decreased gut absorption #Nephpearls http://t.co/CiO46rxBwT pic.twitter.com/rY3DvZP8Il

— Edgar V. Lerma (@edgarvlermamd) December 28, 2014

@kidney_boy Mechanism of hypokalemia in Magnesium deficiency #Nephpearls http://t.co/n9xlp50D6K pic.twitter.com/GMQFYfXSP6

— Edgar V. Lerma (@edgarvlermamd) December 28, 2014

Secondary Hyperparathyroidism - Rx? Take your pick! @edgarvlermamd @weddellite @kidney_boy

NIH Criteria for Parathyroidectomy #Nephpearls http://t.co/mlkoXyep4C pic.twitter.com/9TMhdphZEb

— Edgar V. Lerma (@edgarvlermamd) December 21, 2014

Nice perspective by @weddellite on current mgmt of SHPT - Evidence based or Opinion based http://t.co/f7MkDDlSMa pic.twitter.com/yyw0xcowUp

— Edgar V. Lerma (@edgarvlermamd) December 21, 2014

2 new studies on 2° hyperPTH & an editorial by @weddellite Still have no clue what to do. http://t.co/b3fLAscFFy pic.twitter.com/3shIH8oktY

— Joel Topf (@kidney_boy) December 20, 2014

FSGS NephPearls @edgarvlermamd

Histopathologic Classification of FSGS #Nephpearls from Drs Gasim & Falk/ UNC http://t.co/G5b8wT2jTn pic.twitter.com/XuALotfRjj

— Edgar V. Lerma (@edgarvlermamd) November 29, 2014

Columbia Classification of FSGS #Nephpearls from Drs Gasim & Falk/ UNC http://t.co/G5b8wT2jTn pic.twitter.com/4rCKIu6br2

— Edgar V. Lerma (@edgarvlermamd) November 29, 2014

Flowchart of diagnosis and treatment of FSGS ca. 2008 #Nephpearls http://t.co/0SE88Qtp81 pic.twitter.com/taz5vOZruk

— Edgar V. Lerma (@edgarvlermamd) November 29, 2014

Treatment of FSGS #Nephpearls from Drs Gasim & Falk/ UNC http://t.co/G5b8wT2jTn pic.twitter.com/VMHKS2ZsXx

— Edgar V. Lerma (@edgarvlermamd) November 29, 2014

Approach to diagnosis & management of RECURRENT FSGS in kidney transplants #Nephpearls (Comp Clin Nephrology, 5th Ed) pic.twitter.com/moTKDwchUE

— Edgar V. Lerma (@edgarvlermamd) November 30, 2014

Risk factors for Post-transplant Recurrent FSGS #Nephpearls http://t.co/Wie9gccBoU pic.twitter.com/V4Vse3B9lL

— Edgar V. Lerma (@edgarvlermamd) December 11, 2014

@kidney_boy Collapsing FSGS following KTx ~ higher rate of graft loss vs non-collapsing form. http://t.co/AUoz9bN8fR

— Edgar V. Lerma (@edgarvlermamd) December 11, 2014

Journals to Follow in Nephrology - Impact Factor @edgarvlermamd

TOP 2014 Medical Journals based on IMPACT FACTOR: RENAL/ UROLOGY http://t.co/MtYjmU0aDi pic.twitter.com/TVEUUelrI3

— Edgar V. Lerma (@edgarvlermamd) December 9, 2014

Say "PEE" photographing urine! @edgarvlermamd @nejm

@edgarvlermamd: Point of care photo microscopy of the urine from @NEJM #Nephpearls http://www.nejm.org/doi/full/10.1056/NEJMc1013994?viewType=Print pic.twitter.com/6mpR8Z1iYN -- shared via UberSocial http://ubersocial.com

Rituximab ANCA maintenance Rx @edgarvlermamd

@edgarvlermamd: Rituximab as maintenance Tx for ANCA associated Vasculitis #Nephpearls http://www.ncbi.nlm.nih.gov/m/pubmed/25372085/?i=2&from=/24854382/related pic.twitter.com/3M3DRs1dmi -- shared via UberSocial http://ubersocial.com

Pathology @edgarvlermamd

@edgarvlermamd: Check this out: Pathology from Comprehensive Clinical Nephrology https://www.inkling.com/read/comprehensive-clinical-nephrology-johnson-5/chapter-20/chapter020-reader-4 via @inkling -- shared via UberSocial http://ubersocial.com

Autosomal Dominant Nephrotic Syndrome

@edgarvlermamd: AUTOSOMAL DOMINANT forms of NEPHROTIC Syndrome #Nephpearls (From Comprehensive Clinical Nephrology, 4th Ed) pic.twitter.com/dcPQV5asAv -- shared via UberSocial http://ubersocial.com

Autosomal Recessive Nephrotic Syndrome

@edgarvlermamd: AUTOSOMAL RECESSIVE forms of NEPHROTIC Syndrome #Nephpearls (From Comprehensive Clinical Nephrology, 4th Ed) pic.twitter.com/8vn7bvP8iO -- shared via UberSocial http://ubersocial.com

Hereditary Nephrotic Syndrome

@edgarvlermamd: Podocyte foot process structure & proteins in HEREDITARY NEPHROTIC Syndrome #Nephpearls Comp Clin Nephrology 4th Ed pic.twitter.com/13Pz4e5Ujp -- shared via UberSocial http://ubersocial.com

Nephrotic vs Nephritic Syndrome in a picture.

@edgarvlermamd: NEPHRITIC vs NEPHROTIC made easy #Nephpearls pic.twitter.com/C6etXMJsDB -- shared via UberSocial http://ubersocial.com

Nephrology Syndromes at a glance.

@edgarvlermamd: Clinical presentations of GLOMERULAR DISEASES #Nephpearls (From Comprehensive Clinical Nephrology, 5th Ed) pic.twitter.com/OUtMjLIHWG -- shared via UberSocial http://ubersocial.com