Chronic Kidney Disease
Clinical teaching and practical ideas for your next study session.
Case Discussion
After Severe Hyperkalemia in CKD: When to Restart an ACE Inhibitor
After emergency treatment, decide whether lisinopril should remain stopped or be restarted by weighing the drug’s indication, reversible triggers, potassium control, and a concrete monitoring plan.
Medical Education
Zoledronic Acid at eGFR 28: Match the Renal Rule to the Indication
An eGFR of 28 is a reason to pause, not a universal zoledronic-acid cutoff. Match the preparation and indication to its renal rule, and don’t assume denosumab is automatically safe in advanced CKD.
Case Discussion
Suspected NSTE-ACS in CKD: A High-Stakes Diagnostic and Management Case
When diabetes, chronic kidney disease, dynamic ECG changes, and troponin elevation collide, the key is to recognize high-risk NSTE-ACS without under-treating or over-anticoagulating the patient.