Great case highlighting utility of metanephrines with AVS in a patient with PA and hypercortisolism (MACS). Traditional AVS uses the aldo:cortisol ratio which is confounded if an adenoma co-secretes cortisol. tinyurl.com/yvhwpt75 @bhallaresearch.bsky.social
Always check 1mg DST in PA+adenoma!
Interesting paper - Factors Associated With Discussing High Blood Pressure Readings in Clinical Notes. Naturally, nephrology, transplant, internal med are discussing the most (it's part of the job). ID, endocrine, sports medicine and GI > than cardiology?
pubmed.ncbi.nlm.nih.gov/39661402/
Please consider joining me on Friday, Apr 10 at 3PM EST for this webinar on Simplifying the Approach to Primary Aldosteronism. #nephsky #htn
www.labroots.com/webinar/simp...
Have you heard the news? Dapagliflozin is now $8/month at @costplusdrugs.com
Wrote my first script this AM
From $1935 to $15 for 90 days at 10 mg per day
Inflation is everywhere except #Flozins
A. I am not convinced how a 3X effect in crude becomes a 1.2x effect after PS weighting black box
B. As we say in the summary, there are no good reasons to use hydralazine anyways. So small risk:zero benefit = infinite risk:benefit ratio.
#NephJC
Do you prescribe hydralazine?
Or, do you 🛑 it as soon as you see it?
Hydralazine persists despite TID dosing & risks like... vasculitis 🔥
Are you asking Why-dralazine?
✅The blog by @dramiliflores.bsky.social @nephroseeker.medsky.social
#NephSky
www.nephjc.com/news/hydralazine-anca-vasculitis
How should we measure BP for inpatients? Some consensus criteria and actual measurements from Australia
As we suspected
Thiazide induced hyponatremia is more seen in older women
JNO analysis from Sweden jamanetwork.com/journals/jam...