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Nephrology Pearls (In 10 minutes)
Casey Cotant, M.D.
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Case 1—A Pitfall To Avoid
65 y.o. woman presents with 2-3 months of malaise, sinus congestion VS 152/90, cr 1.4 You review her creatinine trend
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When To Refer Proteinuria, hematuria GFR < 30 Rapid Decline in GFR
Associated electrolyte or acid base disorder Anything that you are uncomfortable with
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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 on average
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Does This Patient Have CKD?
A: Cystatin C 3.8 GFR 13 B: Cystatin C 0.99 GFR 84
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Acid Base 41 y.o. male presented with throat and abdominal pain
7.118/20/6.7 106/5.2/73/5/85/ alb 2 Sodium? Primary Disorder Anion Gap Respiratory Compensation? Delta Gap
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