#326 Cardiorenal Syndrome, Biomarkers, Diuretic Resistance (NephMadness 2022)

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 14 March 2022

⏱️ 57 minutes

🔗️ Recording | iTunes | RSS

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Summary

Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more. This episode is part of our first ever NephMadness Pod Crawl, so check out the other podcasts, and fill out your NephMadness 2022 brackets!

Credits

Producer, Writer, Show Notes, Infographics: Malini Gandhi
Cover Art: Beth Garbitelli
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD, FACP
Executive Producer: Beth Garbitelli
Showrunner: Matthew Watto MD, FACP
Editor: Clair Morgan of nodderly.com
Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD

*Claim free CME for this episode at curbsiders.vcuhealth.org! *Available within 24 hours of release.

Show Segments

Intro, disclaimer, guest bios
Guest one-liners, Introduction to Nephmadness 2022
Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine
Definition and pathophysiology of cardiorenal syndrome
Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome
Case #2 from Kashlak: the creatinine bump with diuresis
Approach to the creatinine bump with diuresis
Tips for the volume exam
Interpreting cardiac biomarkers in patients with chronic kidney disease
Case #3 from Kashlak: diuretic resistance
Maximizing loop diuretic efficacy
Sequential nephron blockade
Use of hypertonic saline
Outro

NephMadness 2022 Pod Crawl

Tues 3/15: The Drs. Washington - Inequities in Nephrology. Listen on Apple or Spotify. Website: https://www.drlatonyawashington.com/drswashingtonpodcast
Wed 3/16: The Cribsiders - Neonatal AKI. Listen on Apple or Spotify. Website: http://thecurbsiders.com/thecribsiders
Thurs 3/17: Up My Nursing Game - Hemodialysis. Listen on Apple or Spotify. Website: www.upmynursinggame.com
Fri 3/18: BS Medicine - #505: Albuminuria, basketball and the Great White North. Listen on Apple or Spotify. Website: https://therapeuticseducation.org/
Sat 3/19: Freely Filtered - Animal House Region. Listen on Apple or Spotify. Website: http://www.nephjc.com/freelyfiltered
Twitter: @thecurbsiders @TheCribsiders @NephJC_Podcast @drs_washington @upmynursinggame @medmyths

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The Greater Chicago course, beginning on May 23rd through May 27th or
Washington, D.C., on July 11th through July 15th

New registrants will receive 6 months of access to the course recordings. Visit acponline.org/imbr2022 to register or learn more.

Sponsor: SquareSpace

Go to Squarespace.com for a free trial, and when you’re ready to launch, go to squarespace.com/Curb to save 10% off your first purchase of a website or domain.

Sponsor: Green Chef

Go to GreenChef.com/curb130 and use code curb130 to get $130 off, plus free shipping!

Sponsor: Masterworks

Masterworks is giving listeners priority access to their newest offerings. Just head to masterworks.art/curbsiders

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.

Transcript

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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 to lay a diet of street cure or prevent
0:09.4	any diseases or conditions.
0:10.4	For the more that you use and stay mixed rest on the podcast are solely those of those,
0:12.2	and should not be interpreted to reflect official policy or position of any entity
0:14.4	that's either on 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.
0:32.0	Alright Paul, take 20.
0:35.5	Welcome back to the Curbsiders.
0:36.9	I'm Dr. Matthew Frank Wato joined by my co-host Dr. Paul Nelson Williams.
0:41.2	And on tonight's show we're going to be talking about Cardio Reno syndrome with two wonderful
0:45.2	guests Dr. Joel Toth and Dr. Sadia Khan. But first Paul, would you tell them what is it
0:51.7	that we generally do on the curbsiders?
0:54.0	Sure, happy to as per you, we are the internal medicine podcast.
0:57.7	We use expert interviews to bring you clinical pearls and practice changing knowledge.
1:01.3	We have no less than two experts with us tonight.
1:04.4	As you mentioned Dr. Joel Toth and Dr. Sadia Khan who are going to talk us through the ins
1:08.1	and outs of Cardio Reno syndrome and anticipation of neph madness.
1:12.1	My favorite chance to feel stupid and lose coming up pretty quickly.
1:16.3	And I wanted to remind people that this episode is part of an ongoing pod crawl.
	...

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