The Curbsiders Internal Medicine Podcast #104: Renal tubular acidosis with Kidney Boy, Joel Topf MD
16 snips
Jul 16, 2018 
In this episode, Joel Topf, Chief of Nephrology at Kashlak Memorial Hospital and known as @Kidney_Boy, breaks down renal tubular acidosis (RTA) with humor and insight. He discusses the three types of non-gap metabolic acidosis and dives into common causes and treatment challenges. The conversation highlights the kidney's role in acid-base balance and the implications of choice in IV fluids. Joel also shares valuable insights from clinical cases, making a complex topic accessible and engaging for both professionals and enthusiasts in nephrology.
AI Snips
Chapters
Transcript
Episode notes
A Resident's Regrettable Failure
- Joel Topf recounts a challenging experience as a resident involving a patient with chest pain.
- His tactical focus overshadowed strategic thinking, delaying critical consultation and leading to the patient's death.
Overlooked Salmonellosis
- Paul Williams shares a case where he dismissed a patient's seemingly trivial complaint of frequent bowel movements.
- The patient's creatinine subsequently rose to 11 due to undiagnosed salmonellosis, highlighting the importance of not overlooking patient concerns.
NAGMA: Three Main Categories
- Consider three main categories for non-anion gap metabolic acidosis (NAGMA): GI loss, chloride intoxication, and renal tubular acidosis (RTA).
- Prioritize investigating GI issues, the most frequent cause of NAGMA, before considering less common causes like RTA.