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Core IM | Internal Medicine Podcast

#15 Contrast-Induced Nephropathy: 5 Pearls segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.81K Ratings

🗓️ 16 May 2018

⏱️ 28 minutes

🧾️ Download transcript

Summary

Solidify your understanding of contrast-induced nephropathy (CIN)! Quiz yourself on the 5 pearls we will be covering: * Are there diagnostic criteria for CIN? (2:11) * Is there a difference between exposure to intra-arterial vs. intra-venous contrast in terms of risk of CIN? (6:28) * What are the biggest risk factors for CIN? (14:48) * What preventive measures have been shown to best reduce the risk of CIN? (19:41) * Can ESRD patients on hemodialysis still suffer from CIN? (23:32) * Recap (25:49) For full show notes: https://www.coreimpodcast.com/2018/05/16/5-pearls-contrast-induced-nephropathy/ (https://www.coreimpodcast.com/2018/05/16/5-pearls-contrast-induced-nephropathy/) (https://www.clinicalcorrelations.org/?p=17613) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0

This is the core I Am 5 Pearls Podcast brought to you by clinical

0:16.1

correlations bringing you high-yield evidence-based pearls. Today we are talking

0:20.7

about contrast-induced nephropathy.

0:23.4

A big thank you to Dr. Josh Barkus,

0:25.9

an assistant professor of pulmonary and critical care

0:28.8

at the University of Vermont

0:30.2

and creator of the Palm Crip blog. We did our best here with a topic that honestly is an absolute quagmire.

0:37.0

We've discussed this topic with several sub-specialties,

0:40.0

from nephrology to create care, to cardiology, and we've tried hard to crystallize the key

0:45.1

points into what is a pretty nebulous topic.

0:48.7

It's very clear to us that thoughtful people from multiple disciplines work really hard to reduce the burden of this disease.

0:55.4

And from taking a deeper dive into CIN, we feel that a strong hold of its key elements can really be practice changing.

1:02.8

All right, let's get started with the five questions

1:05.2

on the pearls we'll be covering.

1:06.8

Test yourself by pausing after each of the five questions.

1:09.8

Remember, the more you test yourself,

1:11.6

the deeper your learning gains.

1:14.0

Question one, diagnostic criteria.

1:17.0

Are there diagnostic criteria for contrast-induced nephropathy,

1:21.0

what we'll be referring to as CIN for the rest of this podcast.

1:27.0

Question 2, intravenous versus intra arterial contrast.

1:31.1

Is there a difference between exposure to intra arterial versus intravenous

...

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