#67 Chronic Kidney Disease Pearls with @kidney_boy, Joel Topf

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 13 November 2017

⏱️ 44 minutes

🔗️ Recording | iTunes | RSS

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Summary

Take control of chronic kidney disease with tools, and tips from @kidney_boy, Joel Topf, MD Salt Whisperer and Chief of Nephrology at Kashlak Memorial Hospital. Learn which equation is best for eGFR, how to counsel patients about progression/prognosis, how to monitor patients in CKD, and who needs a referral to Nephrology. Special thanks to Annie Medina, and Justin Berk for writing/producing this show and to physician-artist, Kate Grant for her lovely and hilarious artwork (more at paintscientific.com).

Full show notes available at http://thecurbsiders.com/podcast

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Time Stamps

00:00 Intro
03:13 Pick of the weeks
08:49 Clinical Case
09:36 How to explain CKD to patients
12:16 Loss of GFR with age
13:22 Which equation should be used to estimate GFR
18:05 Creatinine clearance from 24 hour urine collection
22:25 Initial workup upon diagnosis of CKD
25:40 Interpreting tests for proteinuria
26:52 Staging and prognosis in CKD
32:00 Completing the initial workup for CKD
33:52 Who needs a referral to nephrology?
35:53 What labs to check in CKD and a discussion of secondary hyperparathyroidism
40:32 Take home points
42:30 Outro

Tags: chronic, kidney, disease, nephrology, renal, glomerular, filtration, crcl, gfr, creatinine, prognosis, monitoring, iron, pth, proteinuria, hypertension, nephropathy, diabetes, albumin, protein, anemia, hyperparathyroidism, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medicine, medical, primary, physician, resident, student

Transcript

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0:00.0	Now you got you got the evening, whatever whatever you need. I'm so good for I'm good for
0:15.0	the duration. It's the third date. I think. Oh my. That's the most disturbing thing I've ever
0:20.0	heard. Yeah. Sorry.
0:34.0	Welcome back to the Curve Siders, the internal medicine podcast that uses expert interviews
0:40.0	to bring you clinical pearls and practice changing knowledge. I'm Dr.
0:44.0	Matthew Wato here with my co-host, Dr. Stuart Ken Brigham and Dr. Paul William. Hi. Hey,
0:52.0	Stuart. Paul you. Paul, are you here? Yes. Still. No, I don't. Paul. Stuart, your timing is just
1:00.0	perfect. It's because he went so quickly. You were trying to go so fast that I couldn't interrupt
1:05.0	you. Well, I know what you're doing. I can read your mind. Yes, that's true. We established that in
1:11.0	a, an episode with a, a, who took crap, DJ NMC. I have no idea what you're talking about. So I'm
1:21.0	just going to go on and talk about, I'll listen to that one. Talk about this great episode with Dr.
1:27.0	Joel Topp. This is part one of two with Dr. Joel Topp talking about chronic kidney disease on part
1:33.0	one here. We talk about just how do you talk to patients about what chronic kidney disease is and what
1:41.0	labs you order at the first visit at follow up visits, which GFR formula should you use to estimate and
1:47.0	how do you estimate creatinine clearance? And finally, when do you refer patients to nephrology? We, we
1:55.0	got pretty clear answers to all these questions plus a bunch more on this part one. Our guest is Dr.
2:01.0	Joel Topp. He is a medical educator best known as at kidney boy on Twitter. He is one of the creators of the
2:09.0	nephrology journal club and neph, neph madness as well as being known for his blog, precious bodily fluids,
2:17.0	musings of a salt whisperer. Dr. Joel Topp is a board certified nephrologist and partner at St. Clair
2:25.0	Phrology. He holds academic appointments as assistant clinical professor at the Oakland University William
2:31.0	Beaumont School of Medicine and academic faculty for the St. John Hospital and medical center in nephrology
2:37.0	fellowship. His previous appearance, what his previous appearances were fan favorites. So of course, we vest him back as
	...

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