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The Clinical Problem Solvers

Episode 389: Rafael Medina Subspecialty Series – Hypotension and Peaked T waves

Apr 11, 2025
In this engaging discussion, Dr. Samira Farouk, a transplant nephrologist and educator, and Dr. Douglas Farrell, an internal medicine resident and nephrology fellow, tackle the intricacies of hypotension and acute kidney injury. They highlight the importance of trending urine tests alongside traditional metrics like troponin. The duo also shares insights on managing hyperkalemia and the criteria for initiating acute dialysis, while introducing helpful mnemonics for diagnosing metabolic acidosis. Their clinical approach underscores the complexities of patient care in nephrology.
01:19:20

Podcast summary created with Snipd AI

Quick takeaways

  • Dr. Samira Farouk emphasizes the kidney's vital role in regulating physiology and blood pressure, showcasing its centrality in healthcare.
  • The podcast illustrates the importance of thorough urinalysis and trending urine results as essential tools in diagnosing acute kidney injury.

Deep dives

Introduction to E-Navi and Clinical Problem Solving

E-Navi is a digital prescription pad that enables physicians to prescribe outside the electronic medical record (EMR) system, freeing them from complicated phone calls for prescriptions. It provides real-time cash pricing, allowing patients to make educated choices about their medications. The podcast emphasizes the importance of making clinical reasoning more accessible for learners around the world, inviting listeners to participate in live virtual morning reports to enhance diagnostic skills collaboratively.

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