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

The Curbsiders Internal Medicine Podcast

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).
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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 Rhabdomyolysis38:21 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

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