Posts

new chronic kidney disease guidelines

  A new clinical guideline by the Kidney Disease: Improving Global Outcomes (KDIGO) on the evaluation and management of chronic kidney disease: see   ckd kdigo guidelines AnnIntMed2025  in dropbox, or doi:10.7326/ANNALS-24-01926   Overview : -- these guidelines pertain to all patients with chronic kidney disease (CKD) who are not on kidney replacement therapy (KRT), with the current synopsis referring to their highest recommendations and some upgraded practice points that have evolved since 2012 (these practice points are based on expert opinion) -- the guidelines emphasize a tailored-care approach, which does vary over the life course from infants to old age -- they note that these guidelines will only be feasible in higher-resource settings, despite being from a "global" organization   Recommendations : -- staging CKD:     -- they encourage routine testing for patients at risk, including those with hypertension, diabetes, multisystem d...
Post a Comment
Read more

Addendum: BV is not just a sexually transmitted infection

  Although I think that the last blog ( https://gmodestmedblogs.blogspot.com/2025/03/bacterial-vaginosis-sexually.html  ) made a strong argument that bacterial vaginosis (BV) can be a sexually transmitted infection, with fewer recurrences in women by the use of antibiotics in their male partners, I do think that BV is considerably more complex than that. This was brought up to me by Rebecca Perkins, a gynecologist with a well-recognized expertise in HPV infection and a strong promoter for HPV vaccination. She wrote to me in response to this prior blog, “I don’t think we can quite characterize BV as an STI— I have many patients aged 80-100 who have not had sex in decades and have BV. I think it’s really interesting that treating partners helps but it’s definitely not in the same category as chlamydia”.  -- I also have  seen  women of various ages who do develop BV without any sexual activity.  And the association of BV with alkalinization of the vagina (by s...
Post a Comment
Read more