REBOOT #226 Kidney Boy on Acute Kidney Injury: Myths & Musings

The Curbsiders Internal Medicine Podcast

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

4.8 • 3.1K Ratings

🗓️ 12 August 2024

⏱️ 74 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of Nephrology

Get a grip on acute kidney injury (AKI) with Dr. Joel Topf (AKA @kidney_boy), Kashlak’s Chief of Nephrology! We’ve put together an AKI highlight reel - focusing on practical tips and tricks to help you identify, diagnose and manage AKI, plus how to recognize AIN and random myths and musings on vancomycin, NSAIDS, contrast nephropathy, and the risk of NSF from gadolinium.

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

<iframe style="border: none" src="//html5-player.libsyn.com/embed/episode/id/15258203/height/90/theme/custom/thumbnail/yes/direction/backward/render-playlist/no/custom-color/d95408/" height="90" width="100%" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe>

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | [email protected] | Free CME!

Credits

Written (including CME questions) and Produced by: Cyrus Askin, MD
Infographic by: Cyrus Askin, MD
Cover Art: Kate Grant MBChb, MRCGP
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
Guest: Joel Topf, MD

Time Stamps

00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP
00:30 Intro, disclaimer, guest bio
03:00 Guest one-liner, Picks of the Week*: Zoe Keating albums (Cellist); Mrs. America (TV series) on FX; The Last of Us (Videogame);
08:45 Sponsor - Pediatrics On Call podcast by APP
09:15 Definition of acute kidney injury (AKI) and fundamentals
11:00 Cardiorenal syndrome
12:24 Schema for AKI
17:30 Establish an etiology, determine urine output and address electrolyte abnormalities
21:22 AKI in the otherwise-healthy patient;
32:20 Rhabdomyolysis 38:21 Vancomycin
41:43 Acute interstitial nephritis (AIN)
44:52 Contrast induced nephropathy (CIN)
50:37 Gadolinium in AKI and/or CKD
52:53 Timing of dialysis  
56:37 AKI in the out-patient setting and how to handle home meds e.g. TMP-SMX, RAAS inhibitors;
62:01 Is Ultrasound necessary in AKI 
64:58 Dr. Topf’s take home points and Plug for Seminars in Nephrology
68:45 Outro and Sponsor - VCU Health CE

Sponsor: Freed

You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off their first month.

Sponsor: Panacea Financial

If you’re ready to join the thousands of doctors who have declared independence from traditional banks, visit panaceafinancial.com today.

Sponsor: Locumstory

Tune in to The Locumstory Podcast on Spotify, Apple, or Google podcasts.

Transcript

Click on a timestamp to play from that location

0:00.0	Hey everyone Wado here and you were about to hear a classic curbsideers episode if you already heard it listen again for that space learning if you haven't heard it then you're in for a treat and I'm kind of jealous of you. Now if you want to hear a brand new episode of
0:15.1	curbsiders right now then make sure you join us at patreon.com slash curbsiders where we've already
0:21.1	released over 30 bonus episodes where Paul and I
0:23.7	distill down high-yield topics in primary care and they're shorter than our
0:28.6	regular episodes so some of you might enjoy that also on those episodes we
0:32.3	answer listener questions about primary care topics
0:34.9	plus Paul gives some picks of the weeks check it out at patreon.com slash curbsiders and enjoy
0:41.6	this curbsideers classic episode.
0:44.0	The curbsideers'
0:45.0	The curbsideers podcast is for entertainment, education,
0:50.0	and information purposes only,
0:51.0	and the topics discussed should not be used
0:52.0	solely to diagnose,
0:52.6	cure or prevent any diseases or conditions.
0:54.3	For the more of the views and statements expressed on this podcast are solely those of those
0:56.4	and should not be interpreted to reflect official policy or position of any entity,
0:58.4	aside from possibly, cash like moral hospital and affiliate outreach programs.
1:00.7	If indeed there are any, in fact there are none.
1:02.6	Pretty much we aren't responsible if you screw up.
1:03.7	You should always do your own homework and let us know when we are back. This is an action-packed episode on acute kidney injury with the great Dr. Joel Toff, we're at Kidney Boy as he is belovedly known.
1:29.6	So Paul, before we tell them a little bit more about Dr. Tof in this episode, can you tell them,
1:35.3	what do we do on this show? Why do we do this, Paul? Why are we still doing this?
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from The Curbsiders Internal Medicine Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of The Curbsiders Internal Medicine Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.