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Dr. Giovanny Mera Rebutt

@mera_rebutt

•|Nefrólogo Clínico y Médico Internista •|Experiencia en terapia de sustitución renal en pacientes agudos y crónicos; diálisis y hemodiálisis; trasplante renal.

Joined May 2016
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Dr. Giovanny Mera Rebutt Reposted
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Dr. Giovanny Mera Rebutt Reposted
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Dr. Giovanny Mera Rebutt Reposted

😮Approach to Hypoglycemia @InternAtWork

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Dr. Giovanny Mera Rebutt Reposted

🎯🫘Classification of diabetic nephropathy 1️⃣Isolated GBM thickening 2️⃣Mild (2a) or severe (2b) mesangial expansion 3️⃣Nodular glomerulosclerosis-Atleast 1 Kimmelstiel Wilson nodule 4️⃣Global advanced glomerulosclerosis >50%

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Dr. Giovanny Mera Rebutt Reposted

IA en #Electrolitos24 Hicimos nuestro propio chat dedicado: chatgpt.com/g/g-SFLwqb2oA-… y lo comparamos con otras herramientas de IA para resolver casos clínicos de medio interno. Conclusion: Centra bien el problema, pero "alucina" demasiado. @SENefrologia @SOMANEorg #Nefro_8_01

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Dr. Giovanny Mera Rebutt Reposted

5 WAYS TO PREVENT KIDNEY FAILURE Chronic kidney disease steals the function of your kidneys bit by bit without showing any symptoms. How do you identify it early enough to prevent kidney failure? Let’s break it down, together.👇🏼

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Dr. Giovanny Mera Rebutt Reposted
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Dr. Giovanny Mera Rebutt Reposted
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Dr. Giovanny Mera Rebutt Reposted

¿Por qué hay que evitar la activación del receptor de mineralocorticoides? Te lo cuenta @CKJsocial - doi.org/10.1093/ckj/sf… - Todo en exceso es perjudicial, y en la ERC y en la enfermedad vascular, mucho más. @SOMANEorg @SENefrologia #Nefro_8_01

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Dr. Giovanny Mera Rebutt Reposted

En hiponatremia severa sintomática (Na <125 mEq/L), corregirlo de 8-10 mEq/L en 24h, asociado ↓33% y ↓71% el riesgo de muerte, comparado a correcciones de 6-10 o 4-6, sin más riesgo de desmielinización osmótica Metaanálisis 16 cohortes JAMA 2024 10.1001/jamainternmed.2024.5981

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Dr. Giovanny Mera Rebutt Reposted

✍️Volume status assessment doi.org/10.1093/ckj/sf… @CKJsocial

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Dr. Giovanny Mera Rebutt Reposted

Thanks to @SENefrologia for this amazing meeting & the opportunity to share our thoughts on #lupusnephritis and biomarkers. #fuerzaValencia

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Dr. Giovanny Mera Rebutt Reposted

#Electrolitos24 - "Perlas del curso": Cetoacidosis euglucémica. No solo los iSGLT2, los aGLP1, también. pubmed.ncbi.nlm.nih.gov/39354257/ pmc.ncbi.nlm.nih.gov/articles/PMC11… @SENefrologia @SOMANEorg #Nefro_8_01

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Dr. Giovanny Mera Rebutt Reposted

🏥The B-cell Lineage and the potential mechanism of anti B cell therapies in autoimmune kidney disease. ➡️ B - cell depleting agents ➡️ B - cell modulating agents This is the present and future !! Excellent read by - @NDTsocial doi.org/10.1093/ndt/gf… #Nephpearls

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Dr. Giovanny Mera Rebutt Reposted

💧💧Manejo de líquidos, en la hipertensión intraabdominal ⏫️y síndrome del compartimento abdominal.🪣🚿 WSACS & Fluid Academy. 💧💧💧💧💧💧💧 mdpi.com/2075-1729/12/9… 💧💧💧💧💧💧💧 acrobat.adobe.com/link/track?uri…

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Dr. Giovanny Mera Rebutt Reposted

En hemodinamicamente inestables con una vena cava congestiva, el 36% responde a fluidos; pero empeoraron la congestión sin mejorar la perfusión tisular Se ratifica el concepto de “intolerancia a volumen” Annals of Intensive Care 2024 10.1186/s13613-024-01391-2

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Dr. Giovanny Mera Rebutt Reposted

Approach to Hypocalcemia @grepmeded #MedEd #MedX

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Dr. Giovanny Mera Rebutt Reposted

Poisonings and intoxications #Nephpearls

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Dr. Giovanny Mera Rebutt Reposted

Historically, women's scientific contributions have been under-recognized. This study highlights marked disparities in the overall number of women publishing high-impact nephrology trials and the number of articles with female scientists as first authors of high-impact trials in…

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Dr. Giovanny Mera Rebutt Reposted

🫘❤️‍🩹 Cardiovascular disease risk factors in CKD academic.oup.com/ndt/article/do… @NDTsocial @hjanders_hans

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