- Видео 176
- Просмотров 62 171
Brian Cronin
Добавлен 29 ноя 2022
Welcome to BCNephro
This channel was created to share experiences as a physician, as a nephrologist, and in life. It will highlight how I approach and think about the diagnosis and treatment of nephrologic conditions as well as life experiences I have enjoyed and look forward to. It is intended for medical residents, students, practitioners and anyone with a passion for learning and enjoying life.
A Disclaimer, because unfortunately I have to put something in here. This channel and its videos are for entertainment, education and information purposes only. The topics discussed should not be used to diagnose, treat or prevent any disease or condition. In short I’m not responsible if you screw up. If you’re a medical provider, do your homework and seek consultation when necessary. If you're a patient, always seek the advice of your physician or other qualified health provider.
Thanks for being a part of this journey.
BC
This channel was created to share experiences as a physician, as a nephrologist, and in life. It will highlight how I approach and think about the diagnosis and treatment of nephrologic conditions as well as life experiences I have enjoyed and look forward to. It is intended for medical residents, students, practitioners and anyone with a passion for learning and enjoying life.
A Disclaimer, because unfortunately I have to put something in here. This channel and its videos are for entertainment, education and information purposes only. The topics discussed should not be used to diagnose, treat or prevent any disease or condition. In short I’m not responsible if you screw up. If you’re a medical provider, do your homework and seek consultation when necessary. If you're a patient, always seek the advice of your physician or other qualified health provider.
Thanks for being a part of this journey.
BC
Sodium - What is Normal? @BCNephro
An Explanation of Why a Normal Serum Sodium Lab Value is 140mEq/L, but Normal Saline has 154 mEq/L Sodium. @BCNephro
A Disclaimer, because unfortunately I have to put something in here. This video is for entertainment, education and information purposes only. The topics discussed should not be used to diagnose, treat or prevent any disease or condition. In short, I’m not responsible if you screw up. If you’re a medical provider, do your homework and seek consultation when necessary. If you're a patient, always seek the advice of your physician or other qualified health provider.
Learn more at BCNephro.com
bcnephro.com/sodium-what-is-normal-140-vs-154/
0:00 - Intro
1:26 - Normal Components of...
A Disclaimer, because unfortunately I have to put something in here. This video is for entertainment, education and information purposes only. The topics discussed should not be used to diagnose, treat or prevent any disease or condition. In short, I’m not responsible if you screw up. If you’re a medical provider, do your homework and seek consultation when necessary. If you're a patient, always seek the advice of your physician or other qualified health provider.
Learn more at BCNephro.com
bcnephro.com/sodium-what-is-normal-140-vs-154/
0:00 - Intro
1:26 - Normal Components of...
Просмотров: 21
Видео
How to Diagnose Primary Hyperaldosteronism @BCNephro
Просмотров 3014 дней назад
An Overview of Primary Hyperaldosteronism, When to Screen and How to Confirm the Diagnosis @BCNephro A Disclaimer, because unfortunately I have to put something in here. This video is for entertainment, education and information purposes only. The topics discussed should not be used to diagnose, treat or prevent any disease or condition. In short, I’m not responsible if you screw up. If you’re ...
How Does Peritoneal Dialysis Work? @BCNephro
Просмотров 49Месяц назад
An Overview of Peritoneal Dialysis, Comparing and Contrasting with Hemodialysis @BCNephro A Disclaimer, because unfortunately I have to put something in here. This video is for entertainment, education and information purposes only. The topics discussed should not be used to diagnose, treat or prevent any disease or condition. In short, I’m not responsible if you screw up. If you’re a medical p...
How to Sleep Better @BCNephro
Просмотров 33Месяц назад
A review of the potential nephrotoxicity of statins and fibrates. @BCNephro A Disclaimer, because unfortunately I have to put something in here. This video is for entertainment, education and information purposes only. The topics discussed should not be used to diagnose, treat or prevent any disease or condition. In short, I’m not responsible if you screw up. If you’re a medical provider, do yo...
Can Cholesterol Medications Harm the Kidney?
Просмотров 56Месяц назад
Can Cholesterol Medications Harm the Kidney?
Zytiga induced Hypertension @BCNephro
Просмотров 152 месяца назад
Zytiga induced Hypertension @BCNephro
Creatinine and Creatine - What's the Difference? @BCNephro
Просмотров 663 месяца назад
Creatinine and Creatine - What's the Difference? @BCNephro
Use of Bisphosphonates and Denosumab in Kidney Disease @BCNephro
Просмотров 383 месяца назад
Use of Bisphosphonates and Denosumab in Kidney Disease @BCNephro
What Causes A Low Anion Gap? @BCNephro
Просмотров 1 тыс.4 месяца назад
What Causes A Low Anion Gap? @BCNephro
Dietary Protein and the Kidney @BCNephro
Просмотров 854 месяца назад
Dietary Protein and the Kidney @BCNephro
Is MRI Contrast Safe in Kidney Disease? @BCNephro
Просмотров 1425 месяцев назад
Is MRI Contrast Safe in Kidney Disease? @BCNephro
Thrombotic Microangiopathy @BCNephro
Просмотров 226 месяцев назад
Thrombotic Microangiopathy @BCNephro
How I Got a Perfect Score on the Boards @BCNephro
Просмотров 266 месяцев назад
How I Got a Perfect Score on the Boards @BCNephro
Anti-Glomerular Basement Membrane Disease @BCNephro
Просмотров 436 месяцев назад
Anti-Glomerular Basement Membrane Disease @BCNephro
Things to Know about Immunosuppressive Medications for Kidney Transplant@BCNephro
Просмотров 276 месяцев назад
Things to Know about Immunosuppressive Medications for Kidney Transplant@BCNephro
Immunosuppression for Kidney Transplant @BCNephro
Просмотров 237 месяцев назад
Immunosuppression for Kidney Transplant @BCNephro
Kidney Transplant - Am I a Match? @BCNephro
Просмотров 287 месяцев назад
Kidney Transplant - Am I a Match? @BCNephro
Is Chlorthalidone better than Hydrochlorothiazide? @BCNephro
Просмотров 1187 месяцев назад
Is Chlorthalidone better than Hydrochlorothiazide? @BCNephro
Translocational Hyponatremia - Unusual Causes of Low Sodium @BCNephro
Просмотров 478 месяцев назад
Translocational Hyponatremia - Unusual Causes of Low Sodium @BCNephro
How Lupus Affects the Kidney @BCNephro
Просмотров 618 месяцев назад
How Lupus Affects the Kidney @BCNephro
Metabolic Acidosis - When to give Bicarbonate @BCNephro
Просмотров 669 месяцев назад
Metabolic Acidosis - When to give Bicarbonate @BCNephro
Infection Associated Glomerulonephritis @BCNephro
Просмотров 359 месяцев назад
Infection Associated Glomerulonephritis @BCNephro
Thank you
My egfr 40 last 35 day ago. Now increase to 59. I just controlled my protein intake, cut sugar and monitor salt intake. Everyday im skip my breakfast. Hope my egfr back to normal within 2 months
Thank you for sharing this important information! It’s so reassuring to hear about CKD and GFR from someone who understands the challenges. This video has really helped me better understand my condition and feel more empowered to manage it. Keep up the great work!
Can a carnivore diet help this autoimmune diease?
Is a creatine level of 1.41 alarming for a 27-year-old male?
Now what about your status
Grt info
Nice
Hi, i really like your videos. But i wanted to ask you to try to lower the background music or to not have any background music. It is hard to listen with this music on. Thanks for your videos, they are very helpful
Thanks for the feedback. Let me know if you find this weeks video better. ruclips.net/video/QKQaSmGGtDQ/видео.htmlsi=go6704rquWbzL4_5
Thanks Dr. Cronin! I’m a patient who follows your channel, and am re-testing as my LDL jumped to 160 in one year! Menopause I think, as my diet hasn’t changed. Good to know this information in case I need to go on a statin.
Why would the development of Calcium oxalate crystals due to ethylene glycol toxicity damage the kidneys since they only form kidney stones and these can be easily removed.
The calcium oxalate crystals form in the kidney tissue itself causing damage to the cells. Kidney stones form in the urinary collecting system.
@@BCNephro Thank you for the reply!
Thank you a million times over!!! for this explanation, I'm so happy I found your channel. I so desperately needed this question answered.
How often/in what situation do you check calcitonin?
I've never checked a calcitonin level. This blood test is used for the evaluation for medullary thyroid carcinoma, not for the evaluation of hypercalcemia.
@@BCNephro Do you always see D 1,25 low in subclinical hypercalcemia where blood calcium isn't yet out of range? I've been talking to a few people that have falling eGFR and low PTH but claim to have normal D levels.
A low 1,25 vitamin D level would be expected in CKD with secondary hyperparathyroidism, with the elevated PTH maintaining the calcium in the normal range. However I don't typically check 1,25 vitamin D in this situation. An elevated 1,25 vitamin D can be a cause of hypercalcemia in granulomatous diseases like sarcoidosis or lymphoma. This would be a part of my evaluation in a patient with hypercalcemia and a suppressed PTH.
This is the most helpful video I have seem. Iwas freaking out until I saw this.
What is the normal gfr , for a person born with one kidney. Please tell us
Check out this video and article. ruclips.net/video/KAkX7wzLmrY/видео.htmlsi=DGprWmDFd-fdNELd bcnephro.com/the-solitary-kidney-living-with-one-kidney/
How do they check it just a cyst
Thank you
Your welcome!
❤
Thank you for this video
Your welcome!
plz sir solution for kidney cyst, plz
plz sir solution for kidney cyst, plz
How do you treat cyst
thats great explaination😊
Thank you
Thank you!
Hello doctor, if it's possible please can you do a video about Alport's disease? I discovered to have it two weeks ago and there is no so much information online, I guess because it's a rare disease. Thank you
Yes, thanks for the suggestion, I will work on this topic
@@BCNephro thank you
Alport syndrome video will be out tomorrow
@@BCNephro thank you very much
Received for lab result showing low anion. Thank you for video. Struggling on what direction I should consider to go with the result.
What is symmetric enhancement of bilateral renal parenchyma without solid focal pathology?
The format is a bit convoluted.
Thank you so much this video is very helpful 🙏🏼
Minha esposa tem essa doença .😢
I have a 7mm I'm afraid of surgery 😮
Great video Dr.Cronin. Been wondering this for a while. Always felt counterintuitive to suggest low protein diet to my frail patients.
Thanks! Good to hear from you. Good luck in your fellowship!
I follow a whole food, plant based diet. No meat & very limited dairy. CKD stage 3 for 9 years!
That's great. How do you feel with your diet? What foods do you get protein from?
@@BCNephro A lot of tofu, chickpeas, and kidney & black beans. I do feel tired often, but also have insomnia I believe due to menopause. Stage 3A with 1+ protein.
Useful.
Is this drug recommended for reducing proteinuria in non-diabetic patients with normal GFR?
Yes guidelines recommend it for this indication. Although I typical reserve it for patients with overt albuminuria already on a renin angiotensin system blocker. The link below has current recommendations regarding SGLT inhibitors in chapter 3.7 kdigo.org/wp-content/uploads/2024/03/KDIGO-2024-CKD-Guideline.pdf
excellent
Good for you 👏 and thanks for the cheat code
Thanks for the video. Its very hard to stop PPIs considering the great relief they bring for GERD. Without this medication I would almost certainly have Barrett's or peptic ulcer. I have a gastric hiatal hernia which is probably the main problem. My plasma creatinine has risen too over the last 10 years or so possibly due to PPIs but possibly also to uncontrolled hypertension I had for a short time. Esomeprazole seems the least renal damaging. I also substitute this with a H2 blocker (famotidine) three times per week. Loss of renal function is a very real concern with PPIs. Reducing abdominal fat would help a lot but this is difficult.
Good explanation. Thanks!👍
Ive been suffering from low urine output for almost 3 months, my crea,bun, urinalysis and kub are all normal. Im having headache sometimes and skin burning sensation along with pin and needles and feeling hot but no fever.. my nephro has no clue what is happening to me. Doc whats wrong with me?
Thanks
Excellent video with very useful and valuable info. . I had a multi big stone issue in left kidney only about 8 years ago that has made my left kidney atrophic by about 1cm smaller. Function was about 15% last I checked 6 years ago . How often do you suggest I do a renal comparison scan for function? What determines removal function or pain? Surgery was not able to remove all stones because some 10mm ones are stuck in lower pole calyx. My GFR is in the 60 -65 area and I have heard removing a kidney even with limited function drops GFR significantly . Thanks ,,Love the channel ..
This is not medical advice, check with your doctor, but I can share my experiences. I typically see atrophic kidneys removed for chronic infection. If I want to predict a post nephrectomy GFR I multiply the pre nephrectomy GFR by the % function of the remaining kidney (for example 60-65 x 85% = about 51-55). When there is an atrophic kidney I usually monitor by ultrasound (mainly to monitor how the good kidney is doing), but I would repeat the scan if surgery was planned.
@@BCNephro Thanks
Thank you!!
Hi Dr. C! Not sure of the HIPPA implications, but if you still see patients, are you permitted to advertise your channel with them? It may help grow your audience. You clearly care about your patients & the topics you cover. I wonder who your target audience is. Other physicians - which it seems to be, or those with CKD?
Thanks. You're right my target audience is medical, physicians, residents, students, nurses etc. I realize that some of my videos appeal to patients. Still trying to decide how to integrate that.
What should be the ideal way to estimate egfr in a transplant kidney ( for drug dosing )
Hi, in most cases the 2021 CKD-EPI creatinine based equation would be adequate. If there is an extreme in muscle mass would use the cystatin c equation and/or 24 hour urine creatinine clearance. If drug levels are available that should be done.
Very cool!
I am 44 years male , Indian Origin living in Australia, Regular Gym goer , My Creatinine is 1.74 mg/DL ( EGFR = 47 ml/min/1.73m2) based on which I was told Stage 3 CKD. I go to gym 6 days a week and eat high protein diet so I almost forced my Doctor to do a Cystatine C test EGFR and guess what my Cystatine C is 0.77 mg/L ( EGFR 113 ml/min/1.73m2) . Doctor was really angry ....Go figure
👍
Here’s my approach to resistant hypertension: 1. ARB Telmisartan is my favorite 2. Nifedipine (may use as first line if African American or pulmonary hypertension) 3. Chlorthalidone Once you’re maxed out on 3 agents screen for causes of resistant hypertension: pheochromocytoma, hyperaldosteronism, Cushings, hyperthyroid, renal artery stenosis, and of course med non adherence, obesity, and excessive sodium intake 4. Spironolactone 5. Carvedilol 6. Minoxidil 7. Hydralazine I don’t prescribed clonidine; the rebound effects are a nightmare. In my experience every patient can be controlled with lifestyle, the above medications, and management of comorbidities
Thanks for outlining your approach. I agree with much of it specifically using an ARB first, that extended release nifedipine is more potent than amlodipine, chlorthalidone is more potent than HCTZ and that spironolactone is 4th agent over carvedilol. By the time patients get to me they are often on clonidine and I am proactive in attempting to wean.
Hi Dr. C! I hope you tell your patients about your channel so you can get more subscribers.
I'm 50 and at 62 eGFR due to narrowed ureters. They want to give me a bilateral nephrostomy. I said no way! I'm not near the danger zone yet!
This video is for entertainment, education and information purposes only. The topics discussed should not be used to diagnose, treat or prevent any disease or condition. Always seek the advice of your physician or other qualified health provider.
@@BCNephro Because thet know best? I think I'll listen to my body...
You guys know that eGFR and creatinine results are often false.... check CYSTATINE C.... I have 55 eGFR (which is false) while the cystatine c blood result shows that I have 100% functioning kidney....