Show notes
We're taking a short summer break, but we'll be back at the end of August with brand new episodes. AKI Tips and Tricks from Joel Topf MD, Kashlak’s Chief of NephrologyGet 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 | thecurbsiders@gmail.com | Free CME!CreditsWritten (including CME questions) and Produced by: Cyrus Askin, MDInfographic by: Cyrus Askin, MDCover Art: Kate Grant MBChb, MRCGPHosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.comGuest: Joel Topf, MDTime Stamps00:00 Sponsors - VCU Health CE and Pediatrics On Call podcast by APP00:30 Intro, disclaimer, guest bio03:00 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 APP09:15 Definition of acute kidney injury (AKI) and fundamentals11:00 Cardiorenal syndrome12:24 Schema for AKI17:30 Establish an etiology, determine urine output and address electrolyte abnormalities21:22 AKI in the otherwise-healthy patient;32:20 Rhabdomyolysis 38:21 Vancomycin41:43 Acute interstitial nephritis (AIN)44:52 Contrast induced nephropathy (CIN)50:37 Gadolinium in AKI and/or CKD52:53 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 Nephrology68:45 Outro and Sponsor - VCU Health CESponsor: FreedYou 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 FinancialIf 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.