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 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




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