#88 Acid base, boy bands, and grandfather clocks with Joel Topf MD

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 26 March 2018

⏱️ 93 minutes

🔗️ Recording | iTunes | RSS

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Summary

Dominate acid-base disturbances with the wisdom of @kidney_boy aka Joel Topf, MD, Chief of Nephrology at Kashlak Memorial Hospital. Master his 5 key steps for interpreting acid-base disorders and decode any ABG, VBG, and BMP to find the primary disorder, and any other disorders tucked away in the ABG! Plus: Henderson-Hasselbach and pH simplified; the anion gap, should your correct it?; choice of IV fluid; osmolar gaps, methanol, ethylene glycol, isopropyl alcohol; and how metabolic disorders are like a boy band. Be sure to follow along the Dr. Topf’s brilliant acid-base powerpoint.

Written and produced by Joel Topf MD, Shreya Trivedi MD, Xavi Jimenez MD; Images by Hannah Abrams; Edited by Matthew Watto MD

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

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Transcript

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0:00.0	This is Matt with a quick announcement before we get into today's show
0:03.4	I just wanted to address that in every episode you can pretty much count that the first
0:09.4	15 minutes are using in a BE sort of a mentorship faculty development picks of the week kind of us
0:16.6	easing into the clinical topic putting our guests at ease
0:19.5	So if you want to skip that you can generally skip ahead 15 minutes
0:24.4	You can look at the show notes where we will have time stamps that say
0:28.0	Right when the clinical case starts that way you don't have to guess and
0:33.0	Finally, I'd like to say that on this episode
0:35.2	It is there are a lot of visuals that go along with this one
0:39.2	You can a Joel Toth made a wonderful PowerPoint that is available on our website and a lot of the slides will be in the handout that we sent out to you in
0:49.1	Email this week. So make sure you check that out to follow along the topic is acid base and without further ado
0:56.6	Here is the show
1:05.2	The first time I was talking about entertainment education and information process only has to discuss should not be used only
1:08.9	I just treat your orbit and disease or conditions for more than you the same express
1:11.4	I guess for solo those should not be interpreted perfectly official policy or position of the entity
1:14.0	Cyclopsie catch like more hostile and affiliate outreach programs indeed
1:16.1	They're part in their none pretty much we are responsible to do your own
1:26.6	You
1:33.6	Welcome back to the curbsiders
1:37.8	I'm trying to squeak out a voice here for this episode, but I'm excited because Shreya's here
1:43.5	Man, so am I
1:45.9	For the show and everything else in between and and of course Paul
	...

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