Dr. Michelle Angelique C. Miranda Internal Medicine - Nephrology Clinic

20/05/2026

PSN CEV Postgraduate Course
CKD Continuum: A Lifelong Guideline Driven Approach
� June 16, 2026

Because “watchful waiting” is for spy movies, not your patient’s kidneys.

Join us. Learn. Laugh.
Don’t let another guideline gather dust.

RSVP:
Kidneys not included. Clarity is.

08/05/2026

Creatine is generally safe in people with healthy kidneys and no proteinuria.

If you lift weights, have high muscle mass, or are gaining muscle, your serum creatinine may look “high” even when kidney function is normal. More muscle = more creatinine.

In these cases, a cystatin C–based eGFR can give a more accurate picture of kidney function since it’s less affected by muscle mass.

Elevated creatinine does not always mean kidney disease.



https://seriousmd.com/doc/mmiranda

08/04/2026

Uric Acid Stones💡

Uric acid stones are a type of kidney stone that forms when there is too much uric acid in the urine. This often happens when urine becomes too acidic, allowing uric acid to crystallize and turn into stones over time.

🧬 How are they formed?
When your body breaks down substances called purines (found in certain foods), it produces uric acid. If your body makes too much uric acid—or your kidneys don’t remove enough of it—it can build up and form crystals in the urinary tract.

⚠️ Major risk factor: Diet
One of the biggest contributors is high intake of ANIMAL PROTEINS. These foods are rich in purines and can increase uric acid levels:

❌ Foods to limit or avoid:
• Red meat (beef, pork, lamb)
• Organ meats (liver, kidney)
• Seafood (especially sardines, anchovies, shellfish)
• Excessive poultry
• Alcohol (especially beer)

✅ Safer options:
Good news—VEGETABLE PROTEINS are generally SAFE and much lower in purines:
• Beans and lentils
• Tofu and soy products
• Nuts and seeds

💧 Prevention tips:
• Drink plenty of water (aim for clear/light urine)
• Maintain a balanced diet
• Reduce high-purine animal foods
• Keep a healthy weight

Your kidneys will thank you! 💙

26/03/2026

31/01/2026

May mga pasyenteng pinipiling huwag sumailalim sa dialysis at ang pasyang ito ay nararapat igalang at suportahan. Samahan niyo kami sa isang makabuluhang talakayan tungkol sa Conservative Kidney Management, kung saan inuuna ang ginhawa, dignidad, at kalidad ng buhay ng pasyente sa February 4, 2026, 10:00 AM, kasama ang ating mga eksperto na sina Dr. Irmingarda P. Gueco, MD, FPCP, FPSN, MBA at Dr. Kathleen Joy Garingarao, MD, FPCP, FPSN

Register in advance na!

Register via link below.
https://us02web.zoom.us/webinar/register/WN_cY8DgUsQQli0vKHtl-8zEw

Webinar ID: 843 7702 5997
Passcode: 085710

This program is an initiative of the Philippine Society of Nephrology (PSN). Do not reproduce or share without the permission of PSN. This is not intended to replace the advice of a healthcare professional, always seek consult with your doctor.

May mga pasyenteng pinipiling huwag sumailalim sa dialysis at ang pasyang ito ay nararapat igalang at suportahan. Samahan niyo kami sa isang makabuluhang talakayan tungkol sa Conservative Kidney Management, kung saan inuuna ang ginhawa, dignidad, at kalidad ng buhay ng pasyente sa February 4, 2026, 10:00 AM, kasama ang ating mga eksperto na sina Irmingarda P. Gueco, MD, FPCP, FPSN, MBA at Kathleen Joy Garingarao, MD, FPCP, FPSN

Register in advance na!

Register via link below.
https://us02web.zoom.us/webinar/register/WN_cY8DgUsQQli0vKHtl-8zEw

Webinar ID: 843 7702 5997
Passcode: 085710

This program is an initiative of the Philippine Society of Nephrology (PSN). Do not reproduce or share without the permission of PSN. This is not intended to replace the advice of a healthcare professional, always seek consult with your doctor.

28/01/2026

ANO ANG GLOMERULONEPHRITIS?

🚨Ito ang PAMAMAGA o INFLAMMATION ng mga glomerulus o yung mga maliliit na filters ng kidneys

🚨Dahil sa pamamaga, nadadamage ang mga filters na ito at nagkakaroon ng PAGTATAPON NG DUGO AT PROTEIN SA IHI

🚨In general, karamihan ng mga GLOMERULONEPHRITIS ay IMMUNE-MEDIATED. Ibig sabihin, ang damage ng kidneys ay dahil sa pag-atake ng immune system sa mga organs gaya ng kidneys.

🚨Maraming klase ng glomerulonephritis, pero ilan sa mga examples nito ay:
- IGA NEPHROPATHY
- MINIMAL CHANGE DISEASE
- MEMBRANOUS NEPHROPATHY
- FOCAL SEGMENTAL GLOMERULOSCLEROSIS
- DIABETIC NEPHROPATHY
- LUPUS NEPHRITIS
- POST-STREPTOCOCCAL GLOMERULONEPHRITIS

🚨Tanging KIDNEY BIOPSY lamang ang tiyak na makakapagdiagnose kung anong uri ng glomerulonephritis meron ang isang pasyente

09/12/2025

This 🎯