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Nephrology Elective Outline

8:00-8:30         Check in with Attending.  Assignment of AM consult/ follow up
8:30-9:30         Morning Report
9:30-11:00         Perform AM consult/ follow up encounters
11:00-12:00        AM rounds with attending
12:00-1:00         Noon Conference
1:00-1:30           Check in with attending.  Assignment of PM consult
1:30-2:30          Perform PM consult/ follow up
2:30-3:00         PM rounds with attending
3:00-4:00         Didactic
4:00-5:00         Complete clinical work

Curriculum

  1. AKI
    1. In The Clinic Acute Kidney Injury: Annals of Int Med: Nov 7 2017: 167,9: ITC66-ITC80

https://www.acpjournals.org/doi/10.7326/AITC201711070

https://www.acpjournals.org/doi/10.7326/A19-0006

    1. Contrast Associated Acute Kidney Injury: NEJM May 30 2019; 380: 2146-2155: https://www.nejm.org/doi/full/10.1056/NEJMra1805256
    2. Case 19-2018: A 15-Year-Old Girl with Acute Kidney Injury: NEJM June 21 2018; 378: 2421-229.

https://www.nejm.org/doi/full/10.1056/NEJMcpc1802827

    1. Acute Kidney Injury in Patients with Cancer: NEJM May 4 2017; 376: 1770-1781

https://www.nejm.org/doi/full/10.1056/NEJMra1615295

  1. Hypo/hypernatremia
    1. Disorders of Fluids and Electrolytes: Disorders of Plasma Sodium – Causes, Consequences, Correction: NEJM Jan 1 2015; 372:55-65 https://www.nejm.org/doi/full/10.1056/NEJMra1404489
    2. In The Clinic Hyponatremia: Annals of Int Med: Aug 4 2015: 163,3: ITC1-ITC16

https://www.acpjournals.org/doi/10.7326/AITC201508040

  1. Hypo/hyperkalemia
    1. Disorders of Fluids and Electrolytes: An Integrated View of Potassium Homeostasis: NEJM July 2 2015; 373: 60-72 https://www.nejm.org/doi/full/10.1056/NEJMra1313341
    2. Regulation of Potassium Homeostasis: CJASN June 2015, 10 (6) 1050-1060

https://cjasn.asnjournals.org/content/10/6/1050

  1. Acid/Base
    1. Disorders of Fluids and Electrolytes: Physiologic Approach to Assessment of Acid Base Disorders: NEJM Oct 9 2014; 371: 1434-1445  https://www.nejm.org/doi/full/10.1056/NEJMra1003327
    2. https://kidney360.asnjournals.org/content/early/2022/06/03/KID.0008102021
    3. Diagnostic Use of Base Excess in Acid Base Disorders: NEJM; April 12 2018; 378: 1419-1428

https://www.nejm.org/doi/full/10.1056/NEJMra1711860

    1. Case 13-2019: A 54-Year-Old Man with Alcohol Withdrawal and Altered Mental Status: NEJM  April 25,2019; 380: 1657-665

https://www.nejm.org/doi/full/10.1056/NEJMcpc1900591

    1. Toxic Alcohols: NEJM Jan 18,2018; 378: 270-280

https://www.nejm.org/doi/full/10.1056/NEJMra1615295

  1. Hematuria – Acute GN
    1. Case 13-2020: A 29 Year Old Man With High Blood Pressure, Renal Insufficiency, and Hematuria: NEJM April 23 2020; 382: 1639-1647: https://www.nejm.org/doi/full/10.1056/NEJMcpc1916254
    2. Double Trouble: NEJM Nov 7 2019; 381: 1854-1860

https://www.nejm.org/doi/full/10.1056/NEJMcps1810654

    1. Case 24-2018: A 71-Year-Old Man with Acute Renal Failure and Hematuria: NEJM 2018; 379: 568-578

https://www.nejm.org/doi/full/10.1056/NEJMcpc1802829

  1. Proteinuria – Chronic GN
    1. Case 17-2018: A 40-Year-Old Woman with Leg Swelling and Abdominal Distension and Pain: NEJM: May 31 2018; 378: 2124-2132

https://www.nejm.org/doi/full/10.1056/NEJMcpc1712228

  1. HTN
    1. Acute Severe Hypertension: NEJM Nov 7 2019: 381: 1843-1852

https://www.nejm.org/doi/full/10.1056/NEJMcp1901117

    1. In The Clinic Hypertension: Annals of Int Med: May 7 2019; 170, 9: ITC65-ITC80

https://www.acpjournals.org/doi/10.7326/AITC201905070

  1. Dialysis RRT
    1. Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis: NEJM Oct 11 2018; 379: 1431-1442

https://www.nejm.org/doi/full/10.1056/NEJMoa1803213

  1. IVF
    1. Disorders of Fluids and Electrolytes: Maintenance IVF in Acutely Ill Patients: NEJM Oct 1 2015; 373:1350-1360:  https://www.nejm.org/doi/full/10.1056/NEJMra1412877
  2. Hypercalcemia
    1. Case 24-2016: A 66-Year-Old Man with Malaise, Weakness, and Hypercalcemia

NEJM Aug 11 2016; 375:567-574

https://www.nejm.org/doi/full/10.1056/NEJMcpc1503829