5-Minute Journal Club: Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis

5-Minute Journal, Radiology, Renal

Post Author: Dr. Earl C. Williams, Jr.  Citation: Goulden R, Rowe BH, Abrahamowicz M, Strumpf E, Tamblyn R. Association of Intravenous Radiocontrast With Kidney Function: A Regression Discontinuity Analysis. JAMA Intern Med. 2021 Jun 1;181(6):767-774. doi: 10.1001/jamainternmed.2021.0916. PMID: 33818606; PMCID: PMC8022267. Background             Radiocontrast has long been thought of as nephrotoxic; however, a number of…

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Nephritic/Nephrotic Syndrome…in a Rush

Renal

Which one involves blood? Protein?? Beckoning back to the Step 1 days of yonder, let’s dive into the a little bit of renal anatomy and disease. Basics Nephrons The renal functional units (workhorse of the kidneys) Composed of Glomerulus made up of afferent and efferent arterioles Filters blood into the tubules Tubules Converts filtrate into…

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New Kid on The HyperK Block… Lokelma

Renal,

Lokelma (Zirconium Cyclosilicate) I’m sure everyone has seen our new friend, Lokelma, on the Rush hyperkalemia order set. Thought it would be fun to do a blog post to discuss our new medication. Also have quick blurbs about our friend, Kayexalate, as well as a small summary on Veltassa (Patiromer) that you may see used…

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Bleeding AV Access

Heme/Onc, Renal,

Bleeding AV Access

Background

  • Most often occurs at dialysis center after fistula site is accessed
  • Presents as punctate bleed overlying fistula. Can be slow oozing bleed from uremia or high-pressure bleed similar to arterial bleed
    • Slow oozing bleed is less common in ED as hemostasis is often achieved at dialysis center

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