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The Curbsiders Internal Medicine Podcast

#67 Chronic Kidney Disease Pearls with @kidney_boy, Joel Topf

44 min • 13 november 2017

Take control of chronic kidney disease with tools, and tips from @kidney_boy, Joel Topf, MD Salt Whisperer and Chief of Nephrology at Kashlak Memorial Hospital. Learn which equation is best for eGFR, how to counsel patients about progression/prognosis, how to monitor patients in CKD, and who needs a referral to Nephrology. Special thanks to Annie Medina, and Justin Berk for writing/producing this show and to physician-artist, Kate Grant for her lovely and hilarious artwork (more at paintscientific.com). 

Full show notes available at http://thecurbsiders.com/podcast

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Time Stamps

  • 00:00 Intro
  • 03:13 Pick of the weeks
  • 08:49 Clinical Case
  • 09:36 How to explain CKD to patients
  • 12:16 Loss of GFR with age
  • 13:22 Which equation should be used to estimate GFR
  • 18:05 Creatinine clearance from 24 hour urine collection
  • 22:25 Initial workup upon diagnosis of CKD
  • 25:40 Interpreting tests for proteinuria
  • 26:52 Staging and prognosis in CKD
  • 32:00 Completing the initial workup for CKD
  • 33:52 Who needs a referral to nephrology?
  • 35:53 What labs to check in CKD and a discussion of secondary hyperparathyroidism
  • 40:32 Take home points
  • 42:30 Outro

Tags: chronic, kidney, disease, nephrology, renal, glomerular, filtration, crcl, gfr, creatinine, prognosis, monitoring, iron, pth, proteinuria, hypertension, nephropathy, diabetes, albumin, protein, anemia, hyperparathyroidism, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medicine, medical, primary, physician, resident, student

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