#226 Kidney Boy on Acute Kidney Injury: Myths & Musings - Tips and Tricks from Joel Topf MD

The Curbsiders Internal Medicine Podcast

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.

Show Notes | Spotify | Swag! | Top Picks | Mailing List | [e-mail] | 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

Sponsor: Pediatrics On Call

Sponsor: VCU Health CE - Check out curbsiders.vcuhealth.org and create your FREE account!

Time Stamps

• 00:00 Intro
  
• 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
  
• 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