More articles from Nephrology

  • What is the role for terlipressin in hepatorenal syndrome?
    Stephanie N. Bass, PharmD, Aanchal Kapoor, MD and Christina C. Lindenmeyer, MD
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 664-667; DOI: https://doi.org/10.3949/ccjm.90a.23037

    The drug is recommended as a first-line treatment of hepatorenal syndrome-related acute kidney injury, but it is associated with respiratory failure, especially in the setting of albumin administration, and certain comorbidities may increase the risk.

  • The new GFR equations: How will eliminating the race coefficient affect Black patients?
    Paul Merchant, MD, Crystal Gadegbeku, MD, FAHA, FACP, FASN, Ali Mehdi, MD, Med, FACP, FASN, George Thomas, MD, FACP, Georges Nakhoul, MD, MEd and Jonathan Taliercio, DO, FASN
    Cleveland Clinic Journal of Medicine November 2023, 90 (11) 685-691; DOI: https://doi.org/10.3949/ccjm.90a.22061

    The authors discuss the history of equations for the glomerular filtration rate and potential clinical consequences of the new equations.

  • Should I start an SGLT-2 inhibitor in my patient with heart failure and chronic kidney disease?
    Richard Sekerak, MD, Johanna Ben-Ami Lerner, MD, Pooja Prasad, MD and Megha Prasad, MD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 607-609; DOI: https://doi.org/10.3949/ccjm.90a.23004

    These conditions often co-exist and can have complex interactions. The progression of kidney disease increases the risk of major adverse cardiovascular events.

  • Evaluating a low anion gap: A practical approach
    Lawrence A. Haber, MD, Gurpreet Dhaliwal, MD, Lowell Lo, MD and Gabrielle Rizzuto, MD, PhD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 619-623; DOI: https://doi.org/10.3949/ccjm.90a.23035

    In teaching and in practice, little attention is given to a low anion gap, an oversight that can result in a missed opportunity to diagnose acute or chronic disorders requiring treatment.

  • A useful gap
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine October 2023, 90 (10) 587-588; DOI: https://doi.org/10.3949/ccjm.90b.10023

    A very low anion gap can suggest a laboratory measurement error or provide a clue to clinically important protein abnormalities or ingestions that warrant specific investigation.