#203 POCUS for AKI & Dialysis Real Cases That Changed Management

A dialysis patient with a chronic cough: is it COPD, or are they still volume overloaded? A patient with AKI and hyperkalemia says they’re still peeing — does that rule out post-obstructive AKI? A patient arrives in the ED with uremic symptoms and a newly created AV fistula. Can you safely use it, or do you need to place a temporary dialysis catheter? And the classic inpatient dilemma: your heart failure patient looks better after diuresis, but the creatinine is rising. Is it time to stop, or should you keep going? 🔹 Sponsor: Pain Management and Opioids Adaptive Learning Free Online Course by NEJM Group: See here for Neph Madness details See here for the POCUS region of NephMaddness VOTE here to build your bracket! 🔹 Transcript and Shownotes : 00:52 | What is NephMadness? 02:19 | Detecting post-renal obstruction in a patient who reported normal urination 11:26 | POCUS for discharge or continue diurese 17:25 | Distinguishing COPD from volume overload in a dialysis patient using lung ultrasound 23:55 | Assessing AV fistula maturity at the bedside to potentially avoid placing a temporary dialysis line Along the way, we discuss practical ways clinicians can use renal, lung, and venous ultrasound to clarify uncertain clinical situations and make faster decisions at the bedside. If you’ve ever paused on rounds, wondering “what should we do next?” in a patient with kidney disease, this episode explores how POCUS can help answer that question. Tags: CoreIM, Internal Medicine, Medical Education, Nephrology, AKI Management, POCUS Find the best disability insurance for you: Our Sponsors: * Check out FIGS: * Click for 15% off Premium Starter Kit at Branch Basics: Advertising Inquiries: Privacy & Opt-Out:

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#203 POCUS for AKI & Dialysis Real Cases That Changed Management is an episode from Core IM | Internal Medicine Podcast by Core IM Team.

This episode is 29:19 long.

This episode was published on Mar 23, 2026.

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