❤️ God can help. This helps. No cost. Speak quietly out loud or in normal voice "God, please make health perfect and have perfect kidneys. Thank you ." This prayer must be repeated throughout the day to help. www.howtocallongodforhelp.com Please share. Thank you ❤
I started to listen to these lectures for my RN licensing exam... I am listening now to hone my ICU skills.. - Medcram for excellence in each step of medical career
We recommend some herbal medicine for kidney failure which yields excellent results.This is a side effect less 100% herbal Medicine. This medicine has given life to hundreds of patients worldwide. Sooner we will be uploading videos of patients. This medicine is organically grown, handpicked, free from any toxic chemicals researched to give you the desired results. This medicine also reduces the complications of Kidney failure as it decreases weakness, Blood Pressure & pain aches also it increases Hemoglobin levels. Contact us at dr.shridhar@ayurveda24.co.in or call us at + 91 9815617567
I've been listening to these lectures for like three years and I am onto my master's degree and still these videos are the most informative more than my own classes sometimes, great job bro
Thanks for the question. Most of the CO2 in the body is in the form of bicarbonate (HCO3-). So CO2 in the chem 7 is a good measure of the bicarbonate level in blood.
These videos are amazing. These videos are helping pass the pulmonary and renal sections for med school. Can you please do one on Chronic renal failure, glomeruli diseases and kidney stones. Thank you!!
This was Absolutely Wonderful! I'm a Pharmacy Student and this really helped. I definitely have subscribed...keep doing your thing, you're helping a lot of students
Everything was very clear, up until the very last part where you discussed reasons for low serum creatinine, as associated with lack of muscle mass. This makes sense, but would acute muscle atrophy say due to proteolytic venom, or any other reason for muscle damage for that matter (rhabdomyolysis), not lead to elevated serum creatinine in the short term?
this video was awesome!!!! I would love it if you would include how to treatment the conditions you lecture on. i"m in residency and that would help alot! thanks!
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
Why does the body reabsorb waste products? And, other than GFR, are there other mechanisms (e.g. some kind of chemical receptor) which control the amount of reabsorption in the nephron?
How do Burns increase NH3? By "burns", do you mean burns on the skin caused by a hot stove or direct contact to fire? Also, when you say "creatine is actively secreted", do you mean creatine is absorbed into the kidney (DCT)?
it's very helpful and i appreciate your effort i learned alot from your videos ... could please send me the video where u explain the whole chem 7?.... thnxx
Hi, can someone explain the increase in ammonia due to GI bleeding in liver failure? I imagine the esophageal varices attempting to make up for poor liver circulation and bursting due to the increased pressure, but once that bleeding occurs through what route do the RBCs get taken up and digested in order for the globin to be broken down and ultimately form ammonia? Thanks!
Michael Savilla Good question. The short answer is we don't really know why upper GI bleeding, in otherwords bleeding not from the colon, (the last part of the intestines) stimulates excess ammoniagenesis. We do know that serum ammonia levels in patients with intact liver function does not increase as a result of this excess ammoniagenesis because it is processed appropriately by the liver. Perhaps the excess ammoniagenesis has something to do with acid/base balance or blood volume loss, because it seems to be generated by the kidney and colon both of which may influence blood volume and electrolytes. Another possible explanation that I like has to do with the fact that the colon does not absorb protein, but the upper gi tract: duodenum ileum and jejunum does. Perhaps the absorption of protein resulting from bleeding into the esophagus, which is eaten by the duodenum, jejunum and ileum, shifts the processing of protein into degradation instead of building, whereas a lower GI bleed (colon) does not shift protein processing to degradation because no protein is being absorbed across the gut lumen in this case. So maybe the protein coming from the RBCs is special. Indeed hemoglobin does not contain many essential amino acids necessary for building stuff so maybe the body responds by burning the inessential aminoacids contained in hemoglobin for energy, and as a result generating the ammonia. The important point is that blood pumps from the heart down the aorta to the guts and kidney. the guts all drain to the liver whereby the ammonia is processed to urea, and returned to the heart. in cirrhosis, blood flow through the liver is decreased, and due to this back up, it gets shunted through collateral vessels. This blood never sees the liver its constituent ammonia is not processed into urea.
What I don't get is: Why does fluid move slower through the PCT when the GFR is lower? It makes sense that fluid would be slower if you had low GFR caused hypotension or an ACEI/ARB. But for it to be true in all causes of AKI, wouldn't they all have to reduce the rate of fluid flow across a glomerulus in addition to lowering the GFR? What if you chopped off 50% of your kidney but the remaining half worked perfectly. There wouldn't be slow fluid movement even though GFR is lower.....right?
thank you for explaining acute renal failure as I have just gone through this and it was a very horrible experience and its nice to have a video that explains exactly what was going on in my body as when the doctors explained this to me when I was in hospital none of it made much sense as I was scared as hell.
Muscle damage via rhabdomyolysis can cause renal failure which would increase the creatinine in the short run. Muscle atrophy in the long run would mean less creatinine in the blood and a lower creatinine concentration for a given glomerular filtration rate.
my mom was DX with aki hyperkalemia anemia is this curable she has been in the hospital for almost a week.Please explain to me what's going on with her thank you.She is very weak from this.
you are right in the rhabdomyolisis all the creatinine and myoglobin are high due to its liberation from the muscle, even the myoglobin can cause acute renal failure
Why would the CONCENTRATION of creatinine increase with decreasing GFR?? Sure, less blood is being filtered, but surely it filters the same proportion of creatinine to water??
I've watched this video about 10 times. It's the clearest one that I've seen about this topic. Thanks.
❤️ God can help. This helps. No cost. Speak quietly out loud or in normal voice "God, please make health perfect and have perfect kidneys. Thank you ." This prayer must be repeated throughout the day to help. www.howtocallongodforhelp.com Please share. Thank you ❤
Good video. FYI to other students: kidney stuff starts at 8:40 if you want to skip the BUN/liver physiology stuff
Carrie Cubberly thanks for saving my time
Carrie Cubberly y skip good info??
@@nnekaa.4591 skip info we don't need to know. Use your brain before replying
Eagles Truth just stfu
I am Indian 918116278097
I started to listen to these lectures for my RN licensing exam... I am listening now to hone my ICU skills.. - Medcram for excellence in each step of medical career
Dr. Seheult, you're awesome. Concise, cogent, articulate. You are making up for some poor teachers at my school. Thank you!!
We recommend some herbal medicine for kidney failure which yields excellent results.This is a side effect less 100% herbal Medicine. This medicine has given life to hundreds of patients worldwide. Sooner we will be uploading videos of patients.
This medicine is organically grown, handpicked, free from any toxic chemicals researched to give you the desired results. This medicine also reduces the complications of Kidney failure as it decreases weakness, Blood Pressure & pain aches also it increases Hemoglobin levels.
Contact us at dr.shridhar@ayurveda24.co.in or call us at + 91 9815617567
I've been listening to these lectures for like three years and I am onto my master's degree and still these videos are the most informative more than my own classes sometimes, great job bro
Thanks for the feedback! Glad the videos help!
As a 2nd year nursing student, I found your method of explanation and the explanation itself very concise and enjoyable.
Thank you.
Thanks for the question. Most of the CO2 in the body is in the form of bicarbonate (HCO3-). So CO2 in the chem 7 is a good measure of the bicarbonate level in blood.
Thanks for the feedback. More videos coming soon.
Just starting my Msc in Renal Nursing and this video is awesome. Thanks a lot.
Starting a nephrology rotation as a PA student tomorrow and this is a perfect review. Thanks!
+Aaron Powell Thanks for the comment and enjoy the rotation!
+MEDCRAMvideos Is the increase in Cr due to the low GFR referring to an increase in Cr in the blood? (14:32)
I would recommend looking up sodium bicarbonate (which the kidneys produce) for treating kidney disease.
Sodium bicarbonate
This world needs more teachers like you!
Your lectures are EXCELLENT!
These videos are amazing. These videos are helping pass the pulmonary and renal sections for med school. Can you please do one on Chronic renal failure, glomeruli diseases and kidney stones. Thank you!!
clear voice,simple drawing, easy explaination, and interesting. I am always waiting for your perfect lecture!!!
Internet award for best teachers!👍
a year of physiology and two years of pathology and this feels new, i think i get it now thanks. subscribed.
This was Absolutely Wonderful! I'm a Pharmacy Student and this really helped. I definitely have subscribed...keep doing your thing, you're helping a lot of students
This is great, your technique is almost art. Could you make something for chronic kidney disease though? Thanks!
Thanks MedCram for all these videos, they are GREAT, I can watch them all day :)
Jennifer Pellegrino Good to hear- thank you for the feedback
this is such a good lecture. do you also have written transcripts of what you are saying?
Great video, the explanation is useful also for patients. Thanks!
If you want the best treatment for kidney disease then go here: HootKidney.info
Excellent education videos! Can't believe I've only just discovered them. Thankyou Dr Seheult, your teaching methods are exceptional.
Deborah Dekker thank you for the great feedback
this is was a very simplified and helpful lecture--thank you!
This video finally explained things to me, THANK YOU!
Everything was very clear, up until the very last part where you discussed reasons for low serum creatinine, as associated with lack of muscle mass. This makes sense, but would acute muscle atrophy say due to proteolytic venom, or any other reason for muscle damage for that matter (rhabdomyolysis), not lead to elevated serum creatinine in the short term?
this video was awesome!!!! I would love it if you would include how to treatment the conditions you lecture on. i"m in residency and that would help alot!
thanks!
This is exactly what I really needed. Concise and straightforward!
Excellent video Dr Seheult. The explanations were concise and easy to understand.
Regeneration Center of Thailand Thank you for the feedback- glad the video was helpful
You are an exceptional teacher. Thank you, I very much enjoy your videos
your explanation was so amazing!!!!! i really understood every point of it. thanks alot
can you upload a video explanation in paediatrics?
I had no clue what the heck BUN & Creatinine were until I sat through this short video clip. Thank so much. Yey, I learned something new today.
captfalconXX o
amazing for refreshing and expanding knowledge on topics! Thank you for the series!
I learned a lot more... thanks for the easy-to-understand explanations!
Really good set of videos. I have really understood this. Keep them coming !!!!
See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!
Please give a lecture on congestive heart failure
great video, they all have been very helpful. Is there anyway you could do one on Chronic Renal Failure?
+medstudent30 Thank you for the comment / topic suggestion for chronic renal failure
What software did you use for this video?
You are a teaching GOD! I learned so much so well in just 15 mins. I am eternally indebted to you.
These videos are so educational
A+ 5star lecture please do more
Amen. "if you love me keep my commandments." That means #4 too.
do you provide lectures on dental sciences
like mandibular movements?????
So easy to follow 👍
Thank you ! This is A + presentation !!!
Man, I love these videos. Medicine is always interesting :)
Very nice lecture. Thank you for sharing.
Great Video for nurses too!
Your videos are great! Thanks!
When you were diagramming the chem 7, you said bicarb, but you wrote CO2. Which is correct? Thanks.
Oly one word.Amaaaaaazing
Is there any reason in particular that the B-u-n is referred as such and not as the 'Bun'?
Then you say, "Their "BUN" is high or low. We don't like to talk about people's BUNS.
Why does the body reabsorb waste products? And, other than GFR, are there other mechanisms (e.g. some kind of chemical receptor) which control the amount of reabsorption in the nephron?
awesome detail..luv it..thank you so much
How do Burns increase NH3? By "burns", do you mean burns on the skin caused by a hot stove or direct contact to fire?
Also, when you say "creatine is actively secreted", do you mean creatine is absorbed into the kidney (DCT)?
Awesome video! thanks.
it's very helpful and i appreciate your effort i learned alot from your videos ... could please send me the video where u explain the whole chem 7?.... thnxx
Hi, can someone explain the increase in ammonia due to GI bleeding in liver failure? I imagine the esophageal varices attempting to make up for poor liver circulation and bursting due to the increased pressure, but once that bleeding occurs through what route do the RBCs get taken up and digested in order for the globin to be broken down and ultimately form ammonia? Thanks!
Michael Savilla
Good question. The short answer is we don't really know why upper GI bleeding, in otherwords bleeding not from the colon, (the last part of the intestines) stimulates excess ammoniagenesis. We do know that serum ammonia levels in patients with intact liver function does not increase as a result of this excess ammoniagenesis because it is processed appropriately by the liver. Perhaps the excess ammoniagenesis has something to do with acid/base balance or blood volume loss, because it seems to be generated by the kidney and colon both of which may influence blood volume and electrolytes. Another possible explanation that I like has to do with the fact that the colon does not absorb protein, but the upper gi tract: duodenum ileum and jejunum does. Perhaps the absorption of protein resulting from bleeding into the esophagus, which is eaten by the duodenum, jejunum and ileum, shifts the processing of protein into degradation instead of building, whereas a lower GI bleed (colon) does not shift protein processing to degradation because no protein is being absorbed across the gut lumen in this case. So maybe the protein coming from the RBCs is special. Indeed hemoglobin does not contain many essential amino acids necessary for building stuff so maybe the body responds by burning the inessential aminoacids contained in hemoglobin for energy, and as a result generating the ammonia.
The important point is that blood pumps from the heart down the aorta to the guts and kidney. the guts all drain to the liver whereby the ammonia is processed to urea, and returned to the heart. in cirrhosis, blood flow through the liver is decreased, and due to this back up, it gets shunted through collateral vessels. This blood never sees the liver its constituent ammonia is not processed into urea.
Liver can not do the function when it is failure so NH3 isn't turned to urea
Dehydration causes high BUN as well correct?
Jeremiah Roark Dehydration may be linked with elevated BUN levels.
Question: When you say the Creatinine goes up, are you saying the creatinine in the urinary output or within the blood stream?
Blood stream
thank so much, you are God gifted!
very useful and simple
Thanks for your clear explanations! You are appreciated!
fantastic. Learned so many things . Thank you so much. Looking forward for more videos.
you deserve more than like and subscribe for this explanation :) thanks a lot this is really asome
This is so helpful! Thank you so much!
high metallica rate with the esophageal varicies
Thank you so much!!!! This is SO helpful!!!!
thank you very much for the very easy and clearly lecture to understand.GBU
thank you so much for the amazingggggg videoss!! but could you tell me, in which video u explained the whole chem 7 thingy?
Thanks for the video, keep it up!!!
What I don't get is: Why does fluid move slower through the PCT when the GFR is lower? It makes sense that fluid would be slower if you had low GFR caused hypotension or an ACEI/ARB. But for it to be true in all causes of AKI, wouldn't they all have to reduce the rate of fluid flow across a glomerulus in addition to lowering the GFR?
What if you chopped off 50% of your kidney but the remaining half worked perfectly. There wouldn't be slow fluid movement even though GFR is lower.....right?
+mrhanna85trizzle that’s what happens when a kidney is taken out. The creatinine still goes up. Creatinine clearance is probably a better term.
you are the best😊😊
thank you for explaining acute renal failure as I have just gone through this and it was a very horrible experience and its nice to have a video that explains exactly what was going on in my body as when the doctors explained this to me when I was in hospital none of it made much sense as I was scared as hell.
thank you, thank you, thank you
Muscle damage via rhabdomyolysis can cause renal failure which would increase the creatinine in the short run.
Muscle atrophy in the long run would mean less creatinine in the blood and a lower creatinine concentration for a given glomerular filtration rate.
my mom was DX with
aki hyperkalemia anemia is this curable she has been in the hospital for almost a week.Please explain to me what's going on with her thank you.She is very
weak from this.
you are great !! ,many thanks !!
definitely a must watch educational video.....love it.....
I'm finna get my free med school education up in here
Good one thanks
thanks doctor much appreciated
you are right in the rhabdomyolisis all the creatinine and myoglobin are high due to its liberation from the muscle, even the myoglobin can cause acute renal failure
you are god of medicine
So good!
Creatine level 0.55 & UN crea ration 22 what's my problem?
Hello dear, how are you? What's your symptoms?
your video is good
thanks, really excellent and simple
Excellent! Thank you × 100
Why would the CONCENTRATION of creatinine increase with decreasing GFR?? Sure, less blood is being filtered, but surely it filters the same proportion of creatinine to water??
LOL, "never call it 'the bun'"
One of my pet peeves
Thanks bro!
thanks. you saved me from my preceptor
thanx a lot..i learned a lot from ur lecture ..keep going.....
Dehydration?
how can i download your videos?
Brilliant Thank you
thank you
I have this terrible smell, but I can deal with this state fairly well.
so great, THANK U!!!!!