REBOOT #226 Kidney Boy on Acute Kidney Injury: Myths & Musings

REBOOT #226 Kidney Boy on Acute Kidney Injury: Myths & Musings

Author: The Curbsiders Internal Medicine Podcast August 12, 2024 Duration: 1:13:47
We're taking a short summer break, but we'll be back at the end of August with brand new episodes.
 
AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of Nephrology

Get a grip on acute kidney injury (AKI) with Dr. Joel Topf (AKA @kidney_boy), Kashlak’s Chief of Nephrology! We’ve put together an AKI highlight reel - focusing on practical tips and tricks to help you identify, diagnose and manage AKI, plus how to recognize AIN and random myths and musings on vancomycin, NSAIDS, contrast nephropathy, and the risk of NSF from gadolinium.

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

<iframe style="border: none" src="//html5-player.libsyn.com/embed/episode/id/15258203/height/90/theme/custom/thumbnail/yes/direction/backward/render-playlist/no/custom-color/d95408/" height="90" width="100%" scrolling="no"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe>

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

Credits

  • Written (including CME questions) and Produced by: Cyrus Askin, MD
  • Infographic by: Cyrus Askin, MD
  • Cover Art: Kate Grant MBChb, MRCGP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
  • Guest: Joel Topf, MD

Time Stamps

  • 00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP
  • 00:30 Intro, disclaimer, guest bio
  • 03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);
  • 08:45 Sponsor - Pediatrics On Call podcast by APP
  • 09:15 Definition of acute kidney injury (AKI) and fundamentals
  • 11:00 Cardiorenal syndrome
  • 12:24 Schema for AKI
  • 17:30 Establish an etiology, determine urine output and address electrolyte abnormalities
  • 21:22 AKI in the otherwise-healthy patient;
  • 32:20 Rhabdomyolysis 38:21 Vancomycin
  • 41:43 Acute interstitial nephritis (AIN)
  • 44:52 Contrast induced nephropathy (CIN)
  • 50:37 Gadolinium in AKI and/or CKD
  • 52:53 Timing of dialysis 
  • 56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors;
  • 62:01 Is Ultrasound necessary in AKI 
  • 64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology
  • 68:45 Outro and Sponsor - VCU Health CE

Sponsor:
Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.


Sponsor:
Panacea Financial

If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.

Sponsor: Locumstory

Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.

Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
Podcast Episodes
REBOOT: #466 Cirrhosis Update with Scott Matherly [not-audio_url] [/not-audio_url]

Duration: 1:23:07
We have a classic episode for you. Update your approach to cirrhosis evaluation and management with Dr. Scott Matherly Associate Professor of Hepatology and Gastroenterology at Virginia Commonwealth University Claim CME…
#505 Demystifying Dizziness with Dr. David Hale [not-audio_url] [/not-audio_url]

Duration: 1:14:07
Dizziness can be a daunting presenting symptom. Demystify dizziness with us by breaking it down by timing and triggers, various pertinent physical maneuvers, and even an approach to chronic dizziness. We are joined by ou…
#504: Adult Eating Disorders in the GLP-1 Era [not-audio_url] [/not-audio_url]

Duration: 1:08:50
Explore how GLP-1 meds can help or harm eating disorders with Dr. Laura Bridge When weight-loss meds meet eating disorders: GLP-1 drugs are reshaping medicine, but could they also be fueling disordered eating? Join Dr. L…
#503: Falls with Dr. Alyson Michener and Suzanne Zukoski, MSPT [not-audio_url] [/not-audio_url]

Duration: 1:12:07
More than just mechanical!Keep older adult patients on their feet, literally! Learn to map the Age-Friendly 5Ms Framework onto multifactorial risk factor assessment and management and incorporate other evidence-based fal…
REBOOT: #471 Iron Deficiency Anemia with  Dr. Tom DeLoughery [not-audio_url] [/not-audio_url]

Duration: 1:11:40
We have a classic episode for you.. Conquer the art of managing patients with iron deficiency anemia. We are joined by the amazing Dr. Tom DeLoughery, @Bloodman (Oregon Health & Science University).Claim CME for this epi…
#502 Inflammatory Bowel Disease with Dr. Aline Charabaty [not-audio_url] [/not-audio_url]

Duration: 1:25:16
Update your approach to the evaluation and management of IBD with Dr. Aline Charabaty (@DCharabaty). Review updates in management options, imaging modalities and preventive health recommendations. Claim CME for this epis…
#501 GERD vs NERD: Reflux Updates with Dr. James Callaway [not-audio_url] [/not-audio_url]

Duration: 1:08:01
Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-term PPI therapy. Clai…
#500: COPD Update with Cyrus Askin [not-audio_url] [/not-audio_url]

Duration: 1:22:06
GOLD Updates, Novel Treatments, and Managing Comorbidities in COPD CareLevel up your COPD care with practical, evidence-based strategies. Learn how to confirm airflow obstruction with spirometry (and use LLN/Z-scores tho…