Acute Kidney Injury (Beyond The Basics!)

Everyone knows the simple framework to AKI - prerenal, intrarenal, and postrenal. But lets get a bit more into the details and the "nitty gritty" of how to think and approach this beast of a topic! After watching this video you will know exactly the proper framework for evaluating prerenal, intrarenal, and postrenal causes of AKI - and in a way that is logical, simple, and makes sense!
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[@JohnnyWishbone85]

As usual, a wonderfully clear and concise description of a complex topic. I’m a paramedic applying to med schools, and these videos give me a broader clinical perspective AND help keep me motivated. Thank you so much!
Also…
Zebra Etiology of Prerenal AKI: Aortic dissection! The first (and to date, only) dissection I caught in the field was on a call for new-onset syncope of a late middle-aged person. No blatantly obvious reason, no signs of stroke, nothing terribly weird on the 12-lead, whatever, let’s get you to the ED so the doc can give you the Donut of Truth. I asked if they needed to pee before we got going. “No. You know, I haven’t peed since yesterday morning. You think that’s why I’m fainting?” The hairs on the back of my neck stood up. The hairs on the back of those hairs stood up.
“Let’s just get you to the hospital.”
Turns out the patient had a flap going from the arch all the way to the renal arteries that would occasionally obstruct flow to the brain, and somehow almost completely cut off the renal arteries without doing much to the celiac or SMA.

[@ConanLiuMD]

Amazing comment and thank you so much!! That is an especially crazy story and you wrote it in such an engaging way - have you ever considered doing more writing? I'm sure you've seen a lot of crazy stuff as a paramedic :) I think I will eventually have to redo this video because I think I got into the weeds a little too much, might re-do it some time to make it a bit more concise for people watching. But again really glad you found it helpful!! :D

[@JohnnyWishbone85]

@@ConanLiuMD - That is, by far, the wildest *clinical* thing I've ever dealt with personally because I haven't been a medic all that long, and as soon as I got my card, I decided that I wanted to go for MD. I actually was an EMT for a number of years, the majority of that doing critical care transports, and I actually saw a much higher volume of weird medical issues there. Most of the crazy stuff I've encountered as a medic is mainly social in nature.
"I'm sorry, could you explain again how your fingers came to be in this ziplock baggie? A table saw? That'll do it every time. You were cutting *what?* Have you had any thing to dri... No? Then why are you using a table saw to cut tha... you know what, just get on the gurney and let's get going."
As to the writing, I was raised by a professor of early modern English literature, so I had no choice but to learn to write well. :P

[@areufkingkiddingme]

That’s crazy. I know there was a NEJM article about getting CTA for syncope to check for PE but it’s not routinely done.. esp without some type of symptom.. maybe showed up on CXR?

[@Valcreee]

any plans to release the nephrotic vs nephritic syndrome video? something i think most residents struggle with

[@debigdogk9563]

This is GOLD . Thank you .❤❤❤❤❤❤❤

[@Kevinchase03]

Love this keep them coming

[@ConanLiuMD]

Thank you!!! Glad you’re liking them and thanks for your comment ❤️❤️

[@kosaiganem9097]

love your videos! as an intern i find them very very usefull

[@ConanLiuMD]

Thank you!!! :)

[@areufkingkiddingme]

Did you make the glomerulonephritis vid

[@ConanLiuMD]

Yes but I do think I need to redo it at some point because I think it was a bit overly complicated.