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The Curbsiders Internal Medicine Podcast

#308 Metabolic Alkalosis and Hypokalemia: Kidney Boy Returns!

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.83.1K Ratings

🗓️ 29 November 2021

⏱️ 69 minutes

🧾️ Download transcript

Summary

@Kidney_Boy returns to school us on metabolic alkalosis and hypokalemia! What do diuretics, hyperaldosteronism, black licorice, and milk-alkali have in common? Our Chief of Nephrology, Dr. Joel Topf, talks through the pathophysiology of metabolic alkalosis, the utility of urine chloride and pH measurements, why normal saline is sometimes better than balanced solutions, when to reach for acetazolamide, and more! Urine for a good time ; )

Claim free CME for this episode at curbsiders.vcuhealth.org!


Credits

  • Written and Produced by: Matthew Watto MD, FACP
  • Show Notes, CME, Infographic and Cover Art by: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli
  • Reviewer: Emi Okamoto MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Joel Topf MD
Sponsor: ACP
Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.

Sponsor: Grammarly
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Our listeners get 20% off Grammarly Premium at grammarly.com/CURB

CME Partner: VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • Case of Al Kaline - metabolic alkalosis from vomiting
  • Pathophysiology of metabolic alkalosis
  • Case of Mike Arbonate - hypokalemic, metabolic alkalosis from aggressive IV diuresis and therapies to mitigate
  • Case of Fracture Franny - milk-alkali syndrome
  • Case of Hyper Al - metabolic alkalosis from excess mineralocorticoid receptor activation
  • Outro


Transcript

Click on a timestamp to play from that location

0:00.0

The Curbsiders podcast is for entertainment, education, and information purposes only.

0:07.0

And the topics discussed should not be used solely to die in a street cure or prevent

0:09.4

any diseases or conditions.

0:10.4

For the more that you've used, and statements expressed on the podcast are solely those

0:12.1

of those, and should not be interpreted to reflect official policy or position of

0:14.1

painting entity aside from possibly cash like more hospital and affiliate outreach programs.

0:16.9

If indeed there are any, in fact there are none.

0:18.7

Pretty much we aren't responsible if you screw up, you should always be your own homework

0:20.5

and let's know.

0:32.1

Welcome back to the Curbsiders.

0:34.1

We have a fantastic episode today with our chief of nephrology Dr. Joltoff, everybody's

0:40.8

favorite.

0:41.8

You probably know him as at Kidney Boy on Twitter.

0:44.5

He's here today talking about metabolic alkylosis, which we will learn is the most common

0:50.1

finding on a blood guess in the hospital as he will tell us about.

0:55.4

And I should probably tell you that I am Dr. Matthew Frank Wato here with my friend Dr. Paul

1:01.7

Nelson Williams, who I think is a bit upset with me because it's been a long recording

1:08.1

and there's been some bad jokes made.

1:11.6

I feel like I've been demoted.

1:13.4

Someday is I'm great friend, someday is I'm good friend today, just friend.

1:16.2

So I'm slowly sliding down, eventually I'll be colleague and then eventually you'll

1:20.6

be nemesis.

...

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