⚡️ “A Running collection of my #Visualabstracts” Striving to improve with each one #NSMC xitter.cf/i/moments/111963921603…

💊 HD vs Hemoperfusion: choosing the right extracorporeal modality for toxin removal Not every toxin is dialyzable—and adsorption ≠ dialysis. 🔹 Hemodialysis: best for small, water-soluble toxins with low protein binding — e.g. lithium, salicylates, toxic alcohols. 🔹 Hemoperfusion: may help with highly protein-bound/lipophilic toxins — e.g. phenobarbital, phenytoin, carbamazepine, valproate. 👉 The choice depends on toxin properties, not just the severity of poisoning. Know the toxin. Choose the modality. Save the patient. #Toxicology #Hemodialysis #Hemoperfusion #Nephrology #CriticalCare #ExtracorporealTherapy

🐍 Snakebite-associated TMA: VICC vs true TTP — the diagnostic trap Snakebite + thrombocytopenia + schistocytes ≠ automatically TTP. 🔹 First exclude active VICC: prolonged PT/aPTT, low fibrinogen, ongoing consumption/bleeding. 🔹 Once coagulation normalizes, persistent MAHA + thrombocytopenia + AKI → think TMA. 🔹 ADAMTS13 <10% → TTP → urgent plasma exchange. 🔹 If ADAMTS13 is not severely deficient → snakebite-associated TMA is more likely → supportive care ± KRT. The key is recognizing when VICC ends and TMA begins. Nice talk by @iamnephrologist #Snakebite #TMA #TTP #VICC #Nephrology #AKI #CriticalCare

🐍 Can we remove snake venom extracorporeally? A key nephrology–toxicology question. IHD/SLED/CRRT: ❌ Clinically meaningful venom removal unlikely PLEX: ⚠️ Theoretically possible, but not routine Hemoperfusion/Hemoadsorption: 🔬 Promising concept, but insufficient clinical evidence 👉 Bottom line: Extracorporeal therapies are primarily for organ support (AKI, hyperkalaemia, acidosis, fluid overload)—not venom clearance. Antivenom remains the definitive therapy. #Snakebite #Envenomation #Nephrology #AKI #CRRT #CriticalCare

Anti snake venom are wonderful drugs But remember what they CANNOT DO 🐍🐍 🩼 @iamnephrologist

🐍 #snake bite management Time is kidney It is important to differentiate between type of envenomation to guide therapy Eg myotoxic needs fluids first Rest all need ASV Also know which will lead to AKI @iamnephrologist

Differentiating tropical fevers…important as monsoon continues in mumbai ☔️🌧️⛈️

Had a wonderful time as guest faculty at the PG Teaching Program at @LtmmcM Sion hospital medicine dept.🩺 Nothing beats the energy of a room full of curious PG students. Spent the session discussing the clinical nuances of clinical nephrology to medicine fellows…(some hoping will be future nephrologists🤞) It was lovely to meet my own old mentors❤️ #Nephrology education #MedEd #nephforward

How to treat lupus nephritis in 2026 By @manirath

How to treat refractory LN in 2026 @manirath shared his experience favouring tacrolimus and obintuzumab Also he advocated early initiation of these therapies which improves response rates Pts with high interferon signature - consider Anifrolumab

The forever dilemma - CM -tma versus malignant HTN @GlomCon by Dr sharon Ford

As nephrologist Iam always interested in looking what it does to kidney tissue? Findings of TMA - 🔬 Great session by Dr Sharon Ford at @GlomCon

So exicted for this session Thanks @WomenNeph_india for this opportunity 🌸 Hoping to make it very practical and handson @SwarnalathaGud2 @NephroSeeker @nephromythri @drpriyapais @isn_india @ISNkidneycare

You still have sometime left to attend the #ISNWCN Quizzes and stand a chance to win E certificate from @ISNkidneycare !! Get 10/10 in first attempt in any or or of these quizzes It’ll definitely be enlightening and fun, too 😇 !! ⏰’s ticking !! Day 1️⃣ theisn.outgrow.us/WCN26_1 Day 2️⃣ theisn.outgrow.us/WCN26_2 Day 3️⃣ theisn.outgrow.us/WCN26_3 #isnwcn

We are now moving beyond DSA IN ANTIBODY associated rejection in kidney transplant Nk cells are implicated in DSA neg C4D neg ABMR @VinBhargava

Failed kidney graft post transplant What to do? Do we continue immunosuppressant? Or stop? Do we remove non functioning kidney graft Answer depends on what is the future plan