#74 Nephrotic Syndrome: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 2 September 2020

⏱️ 41 minutes

🔗️ Recording | iTunes | RSS

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Summary

What are common mistakes with protein on the UA? What questions should you ask while obtaining a history that could clue you into nephrotic syndrome? Are kidney biopsies risky business? Is there an associated clot risk in patients with nephrotic syndrome? Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) Show note, Transcript and References: https://www.coreimpodcast.com/2020/09/02/5-pearls-on-nephrotic-syndrome/ Amboss Article on Nephrotic Syndrome: https://www.amboss.com/us/knowledge/Nephrotic_syndrome?utm_source=affiliate&utm_medium=link&utm_campaign=coreim-01 (https://www.amboss.com/us/knowledge/Nephrotic_syndrome?utm_source=affiliate&utm_medium=link&utm_campaign=coreim-01) Time Stamps: * 03:22 Evaluating Proteinuria * 09:37 Nephrotic Syndrome specifics * 22:31 Who to biopsy * 31:39 Diuretics * 37:16 Thrombosis Risk Tags - CoreIM, IM Core, edema, proteinuria, kidneys, thrombosis, urinalysis, diuresis 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	Hi everyone, this Coriam episode this month will count for CME Credit with ACP, yay?
0:06.6	We will link the exact URL in the show notes, so click on the link, answer three questions,
0:10.7	and get CME Credit.
0:11.9	And with that, cue the intro.
0:17.3	The more like a you know textbook example that is you have a new patient with
0:20.9	nephrotic syndrome you do a biopsy and then you find
0:23.6	membranous and you realize patient hasn't had a colonoscopy in 15 years and
0:28.2	then you made a diagnosis of colon cancer from the nephrodit syndrome.
0:31.6	Thank you to Dr. Samira Faruk who dropped that little nephro nugget.
0:36.0	Dr. Ferruk is a transplant nephroologist at Mount Sinai, co-founder of Neffsim,
0:41.0	and co-host of the Freely Filtered Podcast.
0:43.0	Yeah, you know that story really gets to my detective diagnostic strings.
0:48.0	I think that's what I feel about Nephrotic Syndrome in general and it could really make you feel like the Sherlock Holmes of Medicine.
0:55.4	And with that, welcome to Core I Am Five Pearls Podcast.
0:58.8	This is Dr. Marty Freed, a primary care physician at the Ohio State Wexner Medical Center.
1:03.2	And this is Dr. Shria Trevetti and internist at Beth Israel Deaconess Medical Center.
1:08.3	Today we are covering the Fradic Syndrome.
1:11.1	And today we are joined by our friend,
1:13.7	Dr. Klemley, a medspede superstar from Penn
1:17.9	who tremendously help with this episode
1:21.2	along with several others that we're going to mention later.
1:24.0	Thank you and welcome, Klem.
	...

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