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The Curbsiders Internal Medicine Podcast

#308 Metabolic Alkalosis and Hypokalemia: Kidney Boy Returns!

69 min • 29 november 2021
@Kidney_Boy returns to school us on metabolic alkalosis and hypokalemia! What do diuretics, hyperaldosteronism, black licorice, and milk-alkali have in common? Our Chief of Nephrology, Dr. Joel Topf, talks through the pathophysiology of metabolic alkalosis, the utility of urine chloride and pH measurements, why normal saline is sometimes better than balanced solutions, when to reach for acetazolamide, and more! Urine for a good time ; )

Claim free CME for this episode at curbsiders.vcuhealth.org!


Credits

  • Written and Produced by: Matthew Watto MD, FACP
  • Show Notes, CME, Infographic and Cover Art by: Matthew Watto MD, FACP
  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Garbitelli  
  • Reviewer: Emi Okamoto MD
  • Executive Producer: Beth Garbitelli
  • Showrunner: Matthew Watto MD, FACP
  • Editor: Clair Morgan of nodderly.com
  • Guest: Joel Topf MD
Sponsor: ACP
Join the American College of Physicians today! U.S. based post-training physicians can take advantage of a limited-time 20% membership discount. Visit acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.  

Sponsor: Grammarly
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Our listeners get 20% off Grammarly Premium at grammarly.com/CURB

CME Partner: VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 

Show Segments

  • Intro, disclaimer, guest bio
  • Guest one-liner, Picks of the Week*
  • Case from Kashlak; Definitions
  • Case of Al Kaline - metabolic alkalosis from vomiting
  • Pathophysiology of metabolic alkalosis
  • Case of Mike Arbonate - hypokalemic, metabolic alkalosis from aggressive IV diuresis and therapies to mitigate
  • Case of Fracture Franny - milk-alkali syndrome
  • Case of Hyper Al - metabolic alkalosis from excess mineralocorticoid receptor activation
  • Outro


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