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SmartNephro
Nephrology Decision Hub
Developed by Dr. Abbas Deeb
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Newly Published
Latest nephrology research on PubMed — always current, updated live
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SmartNephro Apps point-of-care tools
GN
GN Pro
Glomerular disease — KDIGO-aligned chapters & calculators
Open app →
IgAN
IgAN Pro
IgA nephropathy risk stratification & management
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HD
Dialysis Pro
Haemodialysis prescription optimisation & CKD-MBD
Open app →
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Fluids & Electrolytes
Hyponatraemia, hypernatraemia, hyperkalaemia, bicarbonate, acid–base
Open tool →
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Hypercalcaemia Workup
Confirm & classify, interpret PTH, next steps & management principles
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Calculators
Bedside nephrology calculators — eGFR, FENa, anion gap & more
Open calculators →
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New CKD Patient — one-screen workup
Enter the basics once → eGFR & stage, albuminuria, KDIGO risk, KFRE, vaccination & PJP flags, all at once.
Open workup →
Monitoring & Trends longitudinal tracking
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Evolution & Monitoring
Plot a patient's labs over time with medication & event markers — renal, mineral-bone, weight/DM. Session-only, nothing saved.
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Diabetes in CKD cardiorenal therapy
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DM-CKD Therapy Guide
Enter the patient once → tiered guidance on RASi, SGLT2i, metformin & finerenone (start / continue / hold / titrate). Evidence-tiered: guideline-supported vs emerging.
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Steroid Stewardship & PJP Safety immunosuppression support
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PJP Prophylaxis
Decision aid — initiation triggers, sulfa-allergy & renal pathways, G6PD safety, monitoring.
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Steroid Taper Protocol
Physician draft generator — dated prednisone taper for Lupus Nephritis & ANCA vasculitis (KDIGO/PEXIVAS).
Open tool →
Medications & referral quick reference
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CKD Medications — Quick Reference
Drug classes that matter in CKD — what they're for, key cautions, and links to the full tools. Not a dosing tool.
Open reference →
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When to Refer
Urgent nephrology referral criteria (KDIGO / NICE) — a quick safety checklist. Local pathways still apply.
Open checklist →
Vaccination in CKD pre-treatment & maintenance
Vaccination before immunosuppression
Pre-treatment immunisation checklist for patients starting therapy.
See GN Pro →
Vaccination in CKD & ESKD — decision aid
Interactive checklist: transplant timing, hepatitis B & pneumococcal pathways by patient profile.
Open tool →
Clinical Practice & Guidelines primary sources
Search KDIGO guidelines
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All KDIGO guidelines
Browse the full library of published KDIGO clinical practice guidelines.
Open kdigo.org →
Journals direct & PubMed search
NEJM ↗ Kidney International ↗ JASN ↗ NDT ↗ The Lancet ↗ CJASN ↗
Search PubMed
Calculators
Bedside nephrology calculators · standard reference formulas · educational use only
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eGFR
CKD-EPI 2021
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UACR
Albuminuria
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Spot → 24h Protein/Albumin
Proteinuria
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Protein Ratio Converter
Unit conversion
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KDIGO AKI Staging
Acute kidney injury
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FENa / FEUrea
AKI
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Free Water Deficit
Na
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Anion Gap
Acid-base
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URR
Dialysis
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TSAT
Iron
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Max UF
Dialysis
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IgAN Risk
Open in IgAN Pro →
Vaccination in CKD & ESKD
Decision aid · KDIGO 2024 establishes vaccination as part of CKD care; schedules & doses follow ACIP/CDC
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Educational support — not prescribing. Verify locally before acting. Schedules/doses follow current ACIP/CDC guidance and vary by country — always follow your own national immunisation guidelines.
ACIP = Advisory Committee on Immunization Practices · CDC = US Centers for Disease Control and Prevention · KDIGO = Kidney Disease: Improving Global Outcomes. ACIP/CDC set the US adult immunisation schedule that these recommendations draw on.
Steroid Stewardship & PJP Safety
PJP Prophylaxis decision aid · KDIGO-aligned · merges initiation triggers, allergy & renal pathways, and safety monitoring
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Educational support — not prescribing. Verify locally before acting. Doses, renal adjustments, and intervals must be checked against local protocol. The G6PD check before dapsone is a safety guard, not a substitute for clinical judgement.
Steroid Taper Protocol
Physician draft generator · dated prednisone taper · KDIGO 2024 (LN) & PEXIVAS reduced-dose (AAV)
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Physician draft — for clinician review and sign-off, not a patient handout. An example taper to individualise; LN steps are illustrative, AAV follows PEXIVAS reduced-dose weight bands. Verify every dose locally. Do not give to a patient without clinician sign-off.
New CKD Patient — one-screen workup
Enter the basics once · generates eGFR & stage, albuminuria category, KDIGO risk, KFRE, and vaccination/PJP flags — each links to the full tool
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Educational support — not prescribing. Verify locally before acting. An aggregated overview; the linked tools hold full detail. KFRE is validated for eGFR <60 (G3–G5).
DM-CKD Therapy Guide
Cardiorenal pharmacotherapy in CKD · enter the patient once → tiered guidance (RASi · SGLT2i · metformin · finerenone)
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Educational support — not prescribing. Verify locally before acting. Emerging-evidence items (e.g. finerenone in T1D / non-diabetic CKD) are not established standard of care — follow your label and local policy.
Fluids & Electrolytes
Hyponatraemia · hypernatraemia · hyperkalaemia · bicarbonate deficit · acid–base interpreter
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Educational support — not prescribing. Verify locally before acting. These are formula estimates; serum sodium can move unpredictably, so frequent monitoring is essential and overrides any predicted value.