@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 ; )



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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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CME Partner: VCU Health CE



The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. 


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