Episode 70: Acute Kidney Injury
In collaboration with
A PODCAST LECTURE BY Joel Topf
07/02/23
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SPEAKER Bio
Joel Topf
Joel Topf went to medical school at Wayne state University School of Medicine and did Med-Peds at Indiana University after which he did an adult fellowship in nephrology at the University of Chicago. He is currently an assistant clinical professor of medicine at Oakland University William Beaumont School of Medicine. Joel’s passion is using social media and new media to teach nephrology. This began with desktop publishing his fluid and electrolyte book in the 90’s. Then he began his blog, PBFluids in 2008. He co-created both NephMadness and NephJC to leverage the power of community, digital scholarship, and creativity to teach nephrology. He is a founder of the Nephrology Social Media Collective internship which trains medical professionals to use social media for medical education. Joel is a pioneer in bringing visual abstracts to nephrology and is a visual abstract editor for CJASN.
LECTURE SUMMARY
Acute kidney injury is a common finding in patients in the emergency department. The vast majoreity of these can be reversed by a foley catheter and a bag or two of crystalloids, however understanding what to do for the remainder is an important and often confusing topic. Dr. Topf boils down the science to present acute kidney injury with a practical bent. He covers the common causes as well as the less common diagnosis with an emphasis of what to look for in order to dig deeper, rather than presenting a comprehensive diagnostic algorithm. He also discusses the recent data of the treatment of metabolic acidosis, the initiation of dialysis and how to use and interpret the furosemide stress test.
LEARNING OBJECTIVES
Upon completion of this activity, you should be able to:
Understand the epidemiology of community acquired AKI and use that information to inform a Bayesian approach to diagnosis
Describe next steps if the patient doesn't get better with a bag of crystalloid and a foley catheter
Understand the principles of managing acute kidney injury, beyond diagnosis