Nephrology Pearls (In 10 minutes)

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Presentation transcript:

Nephrology Pearls (In 10 minutes) Casey Cotant, M.D.

Case 1—A Pitfall To Avoid 65 y.o. woman presents with 2-3 months of malaise, sinus congestion VS 152/90, 37.5 89 18 cr 1.4 You review her creatinine trend

When To Refer Proteinuria, hematuria GFR < 30 Rapid Decline in GFR Associated electrolyte or acid base disorder Anything that you are uncomfortable with

Does This Patient Have CKD? A: 75 y.o. male with cardiomyopathy, c diff, Waldenstrom’s macroglobulinemia, debilitation, cr 1.2 B: 45 y.o. African American male with a creatinine of 1.6- 1.7 on average

Does This Patient Have CKD? A: Cystatin C 3.8 GFR 13 B: Cystatin C 0.99 GFR 84

Acid Base 41 y.o. male presented with throat and abdominal pain 7.118/20/6.7 106/5.2/73/5/85/3.7 1339 alb 2 Sodium? Primary Disorder Anion Gap Respiratory Compensation? Delta Gap