#203 POCUS for AKI & Dialysis | Real Cases That Changed Management

#203 POCUS for AKI & Dialysis | Real Cases That Changed Management

A dialysis patient with a chronic cough: is it COPD, or are they still volume overloaded?

A patient with AKI and hyperkalemia says they’re still peeing — does that rule out post-obstructive AKI?

A patient arrives in the ED with uremic symptoms and a newly created AV fistula. Can you safely use it, or do you need to place a temporary dialysis catheter?

And the classic inpatient dilemma: your heart failure patient looks better after diuresis, but the creatinine is rising. Is it time to stop, or should you keep going?


🔹Sponsor: Pain Management and Opioids Adaptive Learning Free Online Course by NEJM Group: https://cme-info.nejm.org/core-im/

See here for Neph Madness details

See here for the POCUS region of NephMaddness

VOTE here to build your bracket!

🔹Transcript and Shownotes:


00:52 | What is NephMadness?

02:19 | Detecting post-renal obstruction in a patient who reported normal urination

11:26 | POCUS for discharge or continue diurese

17:25 | Distinguishing COPD from volume overload in a dialysis patient using lung ultrasound

23:55 | Assessing AV fistula maturity at the bedside to potentially avoid placing a temporary dialysis line


Along the way, we discuss practical ways clinicians can use renal, lung, and venous ultrasound to clarify uncertain clinical situations and make faster decisions at the bedside.


If you’ve ever paused on rounds, wondering “what should we do next?” in a patient with kidney disease, this episode explores how POCUS can help answer that question.


Tags: CoreIM, Internal Medicine, Medical Education, Nephrology, AKI Management, POCUS



Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

Jaksot(212)

#204 Diabetic Foot Infections & Osteomyelitis: 5 Pearls Segment

#204 Diabetic Foot Infections & Osteomyelitis: 5 Pearls Segment

Why are these infections often missed? How to diagnose osteomyelitis at the bedside? Do we always need IV vs oral antibiotics? And the best for last: Simple, practical wound care strategies for medica...

1 Huhti 33min

#202 Dementia Part 2: Gray Matters Segment

#202 Dementia Part 2: Gray Matters Segment

Most clinicians see dementia medications on the med rec, but many of us aren’t sure how much they actually help. In this episode we break down donepezil, memantine, and the new anti-amyloid drugs, and...

12 Maalis 47min

#201: Dementia Part 1: Gray Matters Segment

#201: Dementia Part 1: Gray Matters Segment

Cognitive decline is tough for all parties. What are the high-yield questions to ask? What should you add to your one-liner? When do you stop using MOCA and try to clearly describe their functional st...

25 Helmi 46min

#200: Insulin and QWINT-1 Trial in T2DM: Beyond Journal Club Segment with NEJM Group

#200: Insulin and QWINT-1 Trial in T2DM: Beyond Journal Club Segment with NEJM Group

From metformin to basal insulin to overlooked older medications, this episode reviews the T2D medication toolkit clinicians use every day. We then dive into new evidence on once-weekly insulin to help...

11 Helmi 28min

#199 Privacy & Confidentiality: At the Bedside Segment

#199 Privacy & Confidentiality: At the Bedside Segment

Is patient confidentiality absolute or conditional? When does protecting privacy put others at risk? Can you follow a former patient in the EHR for learning? Should you post a compelling case online e...

28 Tammi 37min

#198 Microskills for Change That are Big Enough to Matter, Small Enough to Win

#198 Microskills for Change That are Big Enough to Matter, Small Enough to Win

Baby alligators  - those betrayals of purpose , or, death by a thousand paper cuts !Check out our latest episode, where Dr. Eileen Barrett walks us through how to tackle baby alligators with:Regulated...

21 Tammi 28min

#197 Hypercoagulability Part 2: 5 Pearls Segment

#197 Hypercoagulability Part 2: 5 Pearls Segment

Gray zones of VTE management! How to approach anticoagulation duration in unprovoked, provoked-irreversible, and provoked-reversible clots?When dose-reduced DOACs make sense for long-term secondary pr...

7 Tammi 38min

Suosittua kategoriassa Koulutus

rss-murhan-anatomia
voi-hyvin-meditaatiot-2
psykopodiaa-podcast
rss-narsisti
rss-liian-kuuma-peruna
adhd-podi
rss-eron-alkemiaa
rahapuhetta
aamukahvilla
kesken
rss-duodecim-lehti
rss-koira-haudattuna
psykologia
rss-tietoinen-yhteys-podcast-2
rss-vapaudu-voimaasi
rss-finnish-daily-dialogues
rss-niinku-asia-on
rss-onks-ok
rss-luonnollinen-synnytys-podcast
rss-arkea-ja-aurinkoa-podcast-espanjasta