Episode 65. Renal Impairment with Dr Tony Amin

It is common in clinical practice to identify patients with impaired renal function as determined by diminished glomerular filtration rate and elevated creatinine. The decision to undertake thorough work-up and investigation of such patients or to observe and monitor, removing any potential offending nephrotoxic agent, is a clinical problem we address in this podcast with expert nephrologist Dr Tony Amin, who considers:

· Acute kidney injury

· Chronic kidney injury

· Appropriate management and work up

· Intravenous contrast nephrotoxicity

This is a complex subject with multiple considerations which Tony outlines with great clarity.

Useful references include:

- Dr Tony Amin – www.healthshare.com.au

- Okusa MD et al. Reading between the Guidelines – The KDIGO practice guideline on acute kidney injury in the individual patient. Kidney Int. 2014 January; 85(1):39-48

- Farrington K et al. Clinical Practice Guideline on management of older patients with chronic kidney disease stage 3b or higher: a summary document from the European Renal Best Transplant Group. Nephrology Dial Transplant. 2017 Jan 1:32(1):916

To be a guest on the show or provide some feedback, I’d love to hear from you: manager@gihealth.com.au

Dr Luke Crantock MBBS, FRACP, is a gastroenterologist in practice for over 25 years. He is the founder of The Centre for GI Health, based in Melbourne Australia and is passionate about educating General Practitioners and patients on disease prevention and how to manage and improve their digestive health.