This content is machine translated Lupus nephritis What is new for the practice? Kidney involvement is one of the most severe forms of lupus and is often life-threatening. In order to detect lupus nephritis (LN) at an early stage, a kidney biopsy is…
View Post 4 min This content is machine translated Microhematuria as an incidental finding Refer to a nephrologist or urologist? Microhaematuria can be harmless, but it can also be a sign of a serious illness. Although current studies show that in 80% of cases it is an idiopathic cause with…
View Post 6 min This content is machine translated Adrenal incidentaloma Harmless incidental finding or tumor requiring treatment? Young adults are rarely affected by adrenal incidentalomas; the average age is over 50. The majority are endocrinologically inactive adrenal adenomas, in about 10-15% of cases the incidentalomas are hormonally…
View Post 5 min This content is machine translated Renal insufficiency in type 2 diabetics The best possible treatment in the early stages of CKD It is recommended that all patients with diabetes are routinely screened for the presence of CKD. In addition to measuring the glomerular filtration rate (eGFR), this also includes determining the…
View Post 10 min This content is machine translated Electrolyte disturbance Hyponatremia in the outpatient setting Over the last two decades, the evidence has become increasingly clear that even relatively mild hyponatremia without obvious or severe symptoms is clinically relevant. It leads to neurocognitive impairments, gait… CME-Test
View Post 5 min This content is machine translated Rare diseases Tyrosinemia type I For the prognosis of this autosomal recessive inherited disease, a diagnosis made in the neonatal period and the subsequent start of treatment are crucial – particularly with regard to the…
View Post 4 min This content is machine translated From symptom to diagnosis Abdominal pain – retroperitoneal liposarcoma Retroperitoneal liposarcomas are often discovered as an incidental finding. The most common subtypes of sarcomas in the retroperitoneum are dedifferentiated liposarcomas, well-differentiated liposarcomas and leiomyosarcomas. Complete surgical resection is the…
View Post 4 min This content is machine translated Renal effects of empagliflozin Combination with semaglutide does not reduce albuminuria more than Empa mono SGLT2 inhibitors and GLP1 receptor agonists (GLP1-RA) are antidiabetic drugs with the potential to preserve kidney function. Their different mechanisms of action suggest that combination therapy could have additive or…
View Post 10 min This content is machine translated Electrolyte disturbance Hyponatremia in the outpatient setting Over the last two decades, the evidence has become increasingly clear that even relatively mild hyponatremia without obvious or severe symptoms is clinically relevant. It leads to neurocognitive impairments, gait… CME-Test
View Post 3 min This content is machine translated From symptom to diagnosis Abdominal pain – retroperitoneal fibrosis (Ormond’s disease) Retroperitoneal fibrosis (RPF) is a rare chronic inflammatory fibrosing disease of the posterior abdominal cavity. The CT or MRI abdomen shows a flat mass surrounding the large vessels and the…
View Post 2 min This content is machine translated Schwartz-Bartter syndrome Disruption of osmoregulation – effectively balancing electrolytes Schwartz-Bartter syndrome is characterized by an accumulation of water in the body, triggered by an increased release of ADH or ADH-like substances. Nausea, vomiting, headaches and muscle cramps can be…
