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Joel Topf, MD: Acute Kidney Injury, Contrast-Associated Nephropathy, and Precious Bodily Fluids
The External Medicine Podcast
Do You Have a Gold Standard?
You can only do that analysis if you have a gold standard. So what's the gold standard in that situation? The patient gets the fluid and they see if the patient responds the next day. And I'm like, so you're telling me I need to order urine sodium urine creatinear and your reassert be sure he has served creating and serum serum sodium. You can then get an answer that may be anywhere from 70 to 90% sensitive and specific. To answer to find out what would happen if I just gave the patient a bag of saline. It just the gold standard is sitting right out there super easy.
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