- Renal Diseases and Glomerulopathies
- Inflammatory Bowel Disease
- Microscopic Colitis
- Autoimmune Bullous Skin Diseases
- Chronic Kidney Disease and Diabetes
- Renal Transplantation Outcomes and Treatments
- Chronic Myeloid Leukemia Treatments
- Platelet Disorders and Treatments
- Systemic Lupus Erythematosus Research
- Chronic Lymphocytic Leukemia Research
- Coagulation, Bradykinin, Polyphosphates, and Angioedema
- Pregnancy and Medication Impact
- Cardiac Arrest and Resuscitation
- Complement system in diseases
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Musculoskeletal synovial abnormalities and treatments
- Mechanical Circulatory Support Devices
- Cancer and Skin Lesions
- Vasculitis and related conditions
- Soft tissue tumor case studies
- Eosinophilic Esophagitis
- Mast cells and histamine
- Dermatological and COVID-19 studies
- Public Health Policies and Education
- Health disparities and outcomes
University of Nebraska Medical Center
2022-2025
University of Minnesota
2020-2023
University of Minnesota Medical Center
2022
University of Nebraska at Omaha
2022
Twin Cities Orthopedics
2021
Metabolism and Renal Physiology
2021
Background: Identifying patients with IgA Nephropathy at risk for disease progression is critical clinical decision making, risk-based patient counseling, and optimal enrollment of trials. Methods: Patients (IgAN) Vasculitis Nephritis (IgAVN) were enrolled in CureGN, a multi-center observational cohort study. Children adults analyzed separately four cohorts 1) full, 2) incident, 3) prevalent, 4) histology. Groups defined using latent class trajectory modeling proteinuria measurements over...
Patients with inflammatory bowel disease (IBD; ulcerative colitis [UC] and Crohn's [CD]) may have unique patterns of kidney injury related to their underlying or coexisting medications. We present the biopsy findings clinical outcomes veterans UC CD from US Department Veteran's Affairs (VA) health system.Histopathologic data were extracted by retrospective review VA electronic record patients IBD a between 2000 2018. Incident end-stage (ESKD) was defined as requirement replacement therapy....
AKI is associated with a high rate of mortality in patients managed VA ECMO after out-of-hospital cardiac arrest.Therapeutic hypothermia hypokalemia and hypophosphatemia.During rewarming hypothermia, hyperphosphatemia hyperkalemia can develop. Electrolyte replacement should be carefully monitored.
Background: Internal medicine resident education and exposure to subspecialty care is an important component of the residency curriculum.Here we describe our nephrology division's experience implementing a revised didactic curriculum its impact on internal in-training examination (ITE) performance satisfaction with curriculum.Methods: ITE exam results were reviewed, areas weakness identified.Educational objectives created based historical questions cross referenced American College...
IgA nephropathy (IgAN) differs from other glomerular diseases by the frequently predominant lambda over kappa light chain deposition. Using Cure Glomerulonephropathy (CureGN) IgAN cohort, we aimed to determine whether deposition is associated with worse clinical outcomes or histopathologic markers of more active disease.Patients were categorized based on intensity staining. The dominant (LD) group was defined a difference in score minus ≥ 1+ and kappa-lambda codominant (KL) < 1+. We compared...
Kidney transplant programs have different approaches to induction immunosuppression, and conflicting data exist on the role of steroid maintenance in recipients with glomerulonephritis (GN). GN patients are unique because a higher risk for immune system exhaustion due prior exposure immunosuppressants treat their GN; this raises questions regarding optimal immunosuppression needed success reduction complications. We sought assess effect type recipient kidney graft survival those IgA...
Kidney disease can be an initial presentation or a chronic manifestation of plasma cell dyscrasias. Here, we describe rare kidney driven by lymphomatous infiltration the in patient with Waldenstrom's macroglobulinemia (WM). A 70-year-old female 8-year history WM (IgM, κ) was referred for declining renal function. Prior to presentation, she had stable without evidence worsening burden. She been previously hospitalized SARS-CoV-2 infection and acute injury (AKI). Her serum creatinine (sCr)...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...
Background: Endemic to the United States, West Nile virus is an arbovirus that primarily transmitted through bites of Culex mosquito.While most infections are asymptomatic, 20% -40% infected individuals develop flu-like symptoms and a smaller portion neuroinvasive disease.Neurologic involvement increases risk mortality can cause long-term neurologic sequala.Case: This case involves 17 y/o male with depression who presented emergency department for concerns anorexia.On admission he was...