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Detective Nephron:, world-renowned for expert analytical skills, trains budding physician-detectives on the diagnosis and treatment of kidney diseases. L.O. Henle, a budding nephrologist, presents a new case to the master consultant. Mr. Nice Glom: enters the room along with L.O. Henle to present a case. Nephron: What do you have for me today, Henle? And we have a new medical student—the word is out that students are not interested in nephrology anymore? Henle looks at Glom. Glom: I
The detective sits facing the window while he awaits the arrival of his trainees. Henle Here’s a case that is going to make you smile. Nephron ( curious ): Finally. Anyone for some Coke? Henle I shall take some Coke, thanks. By the way, it’s a case of hypophosphatemia. Nephron ( smiling ): Ah, yes. Electrolyte disorders. The best part of nephrology, and phosphate stuff is always entertaining. Aldo This is a 71-year-old woman with a phosphorus level of 1.4 mg/dL, but ranging from 1.4 to 2.4 mg
Henle ( with a smile ): A case for you sir! The detective sits facing the window. He has been experiencing some gastric reflux lately and has given up coffee. He is disgruntled as he misses it. Nephron ( curious ): Finally, something that might put an end to this utter boredom. Henle It’s a case of acute kidney injury (AKI). Nephron ( smiling ): Ah yes. That’s what they call it these days. Gone are the days of renal failure and kidney failure. God forbid that we use big words like “failure
Detective Nephron, world-renowned for his expert analytic skills, trains budding physician-detectives in the diagnosis and treatment of kidney diseases. L. O. Henle, a budding nephrologist, presents a new case to the master consultant. Nephron What do you have for us today, my dear apprentice? Henle I have a 77-year-old white woman with a history of type 2 diabetes mellitus and recently diagnosed metastatic ovarian cancer and now acute kidney injury (AKI). Nephron Stop… let’s see what we can
Detective Nephron, world renowned for expert analytic skills, trains budding physician-detectives on the diagnosis and treatment of kidney diseases. Wildly waving a stack of paper records, budding nephrologist L.O. Henle and medical student Ms. Curious Tubule run down the hall toward Detective Nephron’s office. Henle ( with a smile ): A case for you sir! The detective sits facing the window. He is observing a mob outside his office with his coffee mug in hand. Nephron ( curious ): Finally
Detective Nephron, world-renowned for his expert analytic skills, trains budding physician-detectives in the diagnosis and treatment of kidney diseases. L.O. Henle, a budding nephrologist, presents a new case to the master consultant. Nephron What do you have for us today, my dear apprentice? Henle I have a 67-year-old white man with a history of type 2 diabetes mellitus, with an elevated hemoglobin A1c (8.1%) and a history of moderate hypertension, who is now here with proteinuria. Nephron
Henle A case for you, sir! The detective sits facing the window, awaiting the arrival of his new students. Nephron What do you have for us today, my dear apprentice? Henle A 60-year-old man with proteinuria, microscopic hematuria, and an acute rise in creatinine level. Nephron I see that you have taken a break from the electrolyte disorders and moved to the world of acute kidney injury (AKI). This is why nephrology is so much fun. It has so much variety to offer to us diagnosticians. Henle Hmmm
Detective Nephron, world-renowned for his expert analytic skills, trains budding physician-detectives in the diagnosis and treatment of kidney diseases. Mackenzie Ula Densa, a budding nephrologist, plans to present a new case to the master consultant. Nephron It's been a while, Mac. What do you have for me? Mac I have a 67-year-old man with a serum sodium (Na) of 120 mEq/L. Nephron ( excited ) Whoa! Finally…electrolytes stuff! Mac Trust me, you are going to love this one. You are
Henle A case for you, sir! The detective sits facing the window, awaiting the arrival of his new students. Nephron ( curious ): Finally, something that might put an end to this utter boredom. Henle It’s a case of hyperkalemia. Nephron ( smiling ): Ah, yes. Electrolyte disorders. The best part of nephrology! Nevertheless, no patient will thank you for fixing their acidosis. Aldo This is an 81-year-old man with a serum potassium level of 7.5 mmol/L. Nephron ( interrupting ): I don’t need any of
Detective Nephron, world-renowned for his expert analytic skills, trains budding physician-detectives in the diagnosis and treatment of kidney diseases. L. O. Henle, a budding nephrologist, presents a new case to the master consultant. Nephron What do you have for us today, my dear apprentice? Henle A 70-year-old woman with acute kidney injury. Nephron More AKI—good. It had better be a case of some exotic chemotherapy causing thrombotic microangiopathy. Henle Hmmm…you are reading too much