March 14, 2022

#326 Cardiorenal Syndrome, Biomarkers, Diuretic Resistance (NephMadness 2022)

56 minutes

Lose your heart to NephMadness 2022! Dr. Joel Topf (@kidney_boy) and Dr. Sadiya Khan (@HeartDocSadiya) tackle the NephMadness 2022 Cardiorenal Syndrome region, leading us through the pathophysiology of cardiorenal syndrome, how to approach the creatinine “bump” with diuresis, managing patients with diuretic resistance, and more. This episode is part of our first ever NephMadness Pod Crawl, so check out the other podcasts, and fill out your NephMadness 2022 brackets!

Credits

Producer, Writer, Show Notes, Infographics: Malini Gandhi

Cover Art: Beth Garbitelli

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Emi Okamoto MD, FACP

Executive Producer: Beth Garbitelli

Showrunner: Matthew Watto MD, FACP

Editor: Clair Morgan of nodderly.com

Guest: Dr. Joel Topf MD, Dr. Sadiya Khan MD

*Claim free CME for this episode at curbsiders.vcuhealth.org! *Available within 24 hours of release.

Show Segments

Intro, disclaimer, guest bios

Guest one-liners, Introduction to Nephmadness 2022

Case #1 from Kashlak: acute decompensated heart failure with elevated creatinine

Definition and pathophysiology of cardiorenal syndrome

Use of home ACE-is/ARBs and SGLT-2 inhibitors in cardiorenal syndrome

Case #2 from Kashlak: the creatinine bump with diuresis

Approach to the creatinine bump with diuresis

Tips for the volume exam

Interpreting cardiac biomarkers in patients with chronic kidney disease

Case #3 from Kashlak: diuretic resistance

Maximizing loop diuretic efficacy

Sequential nephron blockade

Use of hypertonic saline

Outro

NephMadness 2022 Pod Crawl

Tues 3/15: The Drs. Washington - Inequities in Nephrology. Listen on Apple or Spotify. Website: https://www.drlatonyawashington.com/drswashingtonpodcast

Wed 3/16: The Cribsiders - Neonatal AKI. Listen on Apple or Spotify. Website: http://thecurbsiders.com/thecribsiders

Thurs 3/17: Up My Nursing Game - Hemodialysis. Listen on Apple or Spotify. Website: www.upmynursinggame.com

Fri 3/18: BS Medicine - #505: Albuminuria, basketball and the Great White North. Listen on Apple or Spotify. Website: https://therapeuticseducation.org/

Sat 3/19: Freely Filtered - Animal House Region. Listen on Apple or Spotify. Website: http://www.nephjc.com/freelyfiltered

Twitter: @thecurbsiders @TheCribsiders @NephJC_Podcast @drs_washington @upmynursinggame @medmyths

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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.

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By The Curbsiders Internal Medicine Podcast

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