The External Medicine Podcast

Joel Topf, MD: Acute Kidney Injury, Contrast-Associated Nephropathy, and Precious Bodily Fluids

Aug 7, 2022

01:07:06

Highlights

AI Chapters

Episode notes

Thaladone in Late Stage CPD That Click Trial

01:30

Is There a Difference Between Venus and Arterial Contrast?

03:50

The Treatment for Acute Interstitial Nephritis

02:42

Introduction

3min

What Is Acute Kidney Injury?

3min

Acute Kidney Injuries - What's the Difference?

2min

Is Cranninine a Good Marker for Acute Kidney Injury?

3min

Is There a Bump in Creatinine That Means Injury to the Kidney?

2min

The Treatment for Acute Interstitial Nephritis

3min

Do You Need to Evaluate Volume Status?

2min

Is the OSCOTation a Good Test for Pneumonia?

2min

Is Fractional Treatment Sodium a Good Choice?

2min

10.

Is Your Blood Pressure Going to Come Up?

2min

11.

Do You Have a Gold Standard?

2min

12.

Contrast Induced Nephropathy

4min

13.

Do You Have a KI?

2min

14.

Is There a Discontinuity in EGFR?

2min

15.

Contrast to CT - What Is a K I?

2min

16.

K I After Contrast Is Not a K I

2min

17.

Don't Give Venus Contrast if You Have a Kidney Infection

3min

18.

The Difference Between Vancomycin and Barium Contrast

3min

19.

Is There a Difference Between Venus and Arterial Contrast?

4min

20.

Is There a Difference Between Arterial and Venous Contrast?

3min

21.

The Nephron

2min

22.

Nephrology - What's Your Favorite Electrolyte?

3min

23.

Thaladone in Late Stage CPD That Click Trial

1min

24.

Is KCL Potassium Chloride Really Effective?

2min

25.

Is There a Culture of Inquisition in Dialysis?

4min

26.

Do You Know What You're Doing With Phosphine or Pills?

3min

In this conversation, Daniel Belkin and Mitch Belkin speak with Joel Topf, MD, about contrast-associated nephropathy. We discuss Acute Kidney Injury (AKI), the value of creatinine as a marker for AKI, how to evaluate volume status, the evidence around contrast-induced/contrast-associated nephropathy, recommendations on fluids to prevent AKI in patients with Chronic Kidney Disease, and comparing venous and arterial contrast with respect to the risk of AKI.

Who is Joel Topf?

Dr. Topf is a clinical nephrologist in Detroit, who is a partner and medical director at St Clair Nephrology and an assistant professor at Oakland University William Beaumont School of Medicine. He is the co-creator of NephMadness and NephJC. He hosts multiple podcasts, blogs at pbfluids.com, and tweets @Kidney_boy.

References:

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What is the External Medicine Podcast?

The External Medicine Podcast explores some of the most exciting ideas in medicine. Co-hosted by Daniel Belkin, MD, and Mitch Belkin, MD.

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