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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.

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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

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

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REBOOT #326 NephMadness 2022: Cardiorenal Syndrome

The Curbsiders Internal Medicine Podcast