@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 ; )
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
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acponline.org/ACPdiscount and use the code ACP20. Membership discount is available only through December 31, 2021.
Sponsor: Grammarly
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CME Partner: VCU Health CE
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