Acute Renal Failure Explained Clearly by MedCram.com | 3 of 3

[@Medcram]

See the whole series at www.medcram.com along with other top quality videos including reviews in pulmonary, cardiology, infectious disease, and hematology!

[@josegarcia-uc5cr]

Just wonderful, I've been looking for "does stage 3 kidney disease always progress?" for a while now, and I think this has helped. You ever tried - Aiyibestoen Phenomenal Asset - (should be on google have a look ) ? It is a great one of a kind guide for discovering how to improve your kidney function minus the headache. Ive heard some extraordinary things about it and my work buddy got excellent success with it.

[@GT-0524]

I worked with Dr. Seheult and he is a walking encyclopedia! I didn't know he had this until a friend told me. This is pretty awesome! Can't wait for more video lectures!

[@sjssrox]

Dr Seheult I would like to thank you for this beautiful 3 part lecture on acute renal failure. I love that you started from the basics of where BUN and creatinine comes from to begin with, which is something us junior doctors tend to forget because we are so focused on cramming the facts(pun intended as this is called medcram haha) as opposed to actually understanding the A-Z of the entire process. I can now go to work tomorrow and show off my knowledge lol. Thankyou again I really appreciated this.

[@Medcram]

+Krishni Bandara Thank you for the great feedback- glad to hear the series was helpful!

[@Medcram]

Please note at 7:45, the 1.010 is referring to specific gravity. Thanks

[@DoctorSturgill]

"Knowledge is the process of piling up facts. Wisdom lies in their simplification.” -Martin H. Fischer It is incredibly refreshing to find someone who can break down complicated topics in a very simple way. THANK YOU!! Please continue making more videos. They are truly invaluable!!!!

[@Medcram]

+Luke Sturgill Thank you for the feedback- more videos coming soon

[@Medcram]

Thanks for the question. Regarding Urea: Fractional Exceretion of Urea = Uur X Pcreat / Ucreat X Pur · 100% Where Uur = Urine urea Pcreat = Plasma creatinine Ucreat = Urine creatinine Pur = Plasma urea You can use this equation instead of the FENA when the patient is on diuretics. A fractional excretion of urea of < 35% means pre-renal.

[@AnnA-jh7kp]

Honestly, I've seen many medical lectures online. This instructor is very prepared in his presentation and clear in his explanation---a truly gifted teacher. Please continue to offer more topics. We really appreciate your efforts!

[@monalisakottke]

Fantastic - I'm in PA school and this explanation is WAY better and sticks in my head much better than any lecture or textbook I've had. Thank you VERY much!

[@lostmonkey18]

I thought I knew this topic in and out, but I still managed to learn things. I was taught about renal failure in a very haphazard, pick things up as you go fashion. The way this lecture was presented consolidated all that info in my head in an organized manner that is easy to remember. Bravo, again, Dr. Seheult.

[@sarahgoodman8456]

I'd love to start a petition to bring you to my nursing school as lead instructor.... you are an unbelievable blessing to explain so many pathologies in such crystal-clear detail and examples💕

[@jeanetteamelia]

Quick explanation of renal failure in 3 easy video. The doctor is very good at simplifying material .

[@mumentageldin]

Finally I understand acute renal failure for the first time Thank you doctor

[@coyoteclan1]

this is the most easy and simplified way to explain renal function and failure , and it really gets you to know everything about the kidneys . very good job Dr. Roger . we (all medical students and maybe doctors) really appreciate your work . i'm surely gonna subscribe , i can't afford missing your work .

[@Medcram]

Thanks for catching this. I said it wrong and wrote it right. Urine Na is high and urine osm is LOW.

[@Medcram]

Thanks for the feedback- glad the lectures have been helpful

[@silvertone333]

This was wonderful because our guest professor had the most unorganized lecture I've ever witnessed. Thank you for the logical progression!

[@Medcram]

silvertone333 you are welcome- thank you for the feedback

[@chamakansatirachawal6418]

Absolutely Useful!!! Everything is so clear as if I found the right person for my heart! Fortunately,I found this before my KUB exam.

[@cgmarin83]

WOW i cannot thank you enough for making these videos you have simplified this topic so much, which makes it much more easier to read and understand.

[@mitcherwin2877]

Would like to see a video on CRRT and difference between and indications for different modes. Thanks

[@christineslack4060]

He does a wonderful job explaining things so that they're easy to understand. I just finished by FNP degree and studying for boards. This was extremely helpful. Thank you!!

[@gaflo4166]

YOU ARE A GREAT TEACHER HENCE YOU MUST BE A GREAT DOCTOR. tHANKS

[@Riverbuny]

As a Laboratory technology student your videos are a godsend, wish I had discovered you last semester, everything seems so much easier to understand now. Thank you

[@hermionelynn1625]

This is great! I have an exam on AKI in 3 hours and this helps with the confusion.

[@bougelaal]

@courtryan1 yes I agree! Also Dr.Roger, for us student respiratory therapists, are you able to do videos like this on common respiratory diseases encountered in hospitals???? THANKS! great vid

[@Sonnguyen-nh8bn]

Im a third years student in VietNam, thank you very much, everything is clearly for me. Thank!

[@drdannny]

From anatomy to biochemistry to physiology to finally medicine.......great lecture. Please teach me whole medicine in that way.

[@jamietaylor184]

Awesome explanation of acute renal failure. A video on the etiology of diabetes would be great.

[@07flhx103]

I think this video was great. I have my final on December 5th. This video really helped me understand and i was able to take notes. THank You

[@maicho2601]

I have a question, why is Na+ the key to maintain volume? Is it because it increases the oncotic pressure of blood and therefore will have more isotonic fluid going into the plasma to increase volume? And great explanation, i dont know what id do without these tutorials! Thanks!

[@Bambina336]

Dr. Seheult - is there any way to regain kidney function again after having an obstruction for 4 years? My sister had a hysterectomy 4-5 years ago and when that was done, somehow the tube that leads from kidney to the bladder was blocked. When she went for checkup she was told her kidneys aren't functioning properly but nothing was done then. She found out few weeks ago that one of the kidneys is barely working. Dr. installed a small tube to the place where obstruction was, and a catheter but barely anything is coming out. Is removal of that kidney the only option now? Her other kidney is fine, no problems. Also, as someone who has no connection to medical field at all, I find your videos and explanations absolutely amazing! Thank you for sharing your knowledge with all of us!

[@mrindian5908]

Thank you very much for simplyfying this complicated topic, I got one doubt, to check urine Na and urine osmololity do we need 24 hours urine or any stat urine sample is enough.

[@lynne5114]

THANK YOU MEDCRAM FOR SAVING MY LIFE!!!!

[@TheMessi121212]

you are brilliant, I have read this information on kapplan prep for years. this is the first time that i fell confident about this concept

[@Medcram]

+Dr. Scott Menard Happy the video helped clear things up- thanks for the comment

[@michaeladedoyin7988]

Very good lectures you have here.

[@vinitafonteyn239]

Great presentation and easy to understand even for a pharmacist!

[@timothymilsom1392]

Great videos, thanks a lot! I am a Paramedic thinking of going to medical school and these sorts of lectures and discussions only make me more interested!

[@Medcram]

Timothy Milsom Good to hear- thank you for the feedback

[@jphoffman8934]

would love to see a lecture on physiologic effects from chronic renal failure, i.e.; why CRF is volume overloaded and associated metabolic derangements in contrast to ARF.

[@rmbengmo]

Thank you utube for allowing us to enjoy this fantastic explanation. Doc , respect!!!!

[@adetomiwaadedeji3092]

God Bless please keep it up best lecture I've ever received. my lecturers need to watch

[@MariaLourdes-mn3xx]

Thank You! for a visual learner such as my self, your videos are very beneficial! to top it off, your explanations are truly CLEAR!

[@lindajones147]

Thank you for the great visual lecture on renal failure. Took a complicated action and allowed me to understand the critical path and how to differentiate between the 3 processes. Linda Jones

[@Medcram]

Thanks for the comment. Please see the MecCram Lecture "Shock Explained Clearly!"

[@prudhvi099]

These videos are worth watching...plus come up with more videos

[@Quinette76]

I love how you made it so clear and simple.

[@chungle9636]

Thanks a lot. This video made the lecture much easier to understand.

[@deannam.7687]

Awesome awesome lecture!!! Just a wonderful explanation of ARF. From basics to what to look for. Where were you when I first started learning this stuff! Thank you!

[@u5114043]

thank you Dr. Your teaching is so great that make hard stuff seems easy to understand I like the way that you explains.

[@jeffreygillman4565]

What would cause a lack of Thirst in Renal Dysfunction? Thank you.

[@einsteinbrain7]

thank you for your good work . i hope if there would be futer lec explaning the pathology of renal failure and its mechanis

[@rhynalrodrigues9649]

Just watched all 3 videos and I understand it very well now; and it's all thanks to you. Thank you so much.

[@Medcram]

Rhynal Rodrigues glad the series helped with your understanding of acute renal failure

[@nacemahom]

Very good, I liked it. can you please do videos like this in shock and burns? Thanks.

[@jeanthomas8348]

great lecture. any chance for a discussion of arrhythmia and treatments ?

[@anniealvarez9645]

Thank you very much. Current Nursing student studying and your helping!

[@nabilalk]

Fantastic explanation of the mechanisms involved with the differences in observed urinary osmolality.

[@vickiekennard4197]

Thank you for such an interesting lecture and for making a complex mechanism easy to understand. You are an excellent teacher.

[@christerfaakuse]

Awesome work. clear,concise and to the point. Great job.

[@ibejpi]

Thank You! my path grade just took a huge jump!

[@lyzazee1743]

Awesome Dr. Seheult! Thank you so much.

[@zuhairah2902]

these lectures are so very helpful!! just done watching 3 parts. thank you very much!=D

[@sskoul]

Great lecture. I would really like to see lectures on antibiotics and their corresponding spectra.

[@nutricionb8226]

Awesome video very helpful.As a nutrition student I watched the 3 videos in order to understad better the nutritional intervention and everything is clear now. thanks!

[@caralosser9854]

LOVED THIS!!!! Extremely helpful!!!!!!! If you could make a video for every disease I'm learning in pathophysiology that would be fantastic ;)

[@nacemahom]

@topraja, one rule to keep in mind is that where Na goes water flows. So, if you have Na reabsorbed water is as well reabsorbs; As a result you will have Na+h20 low in the urine and the concetration of the urine will be high(high osmolarity). because water is what makes it diluted like anything else in live when you add water to it. I hope this helped answer your question.

[@alysiabyers]

love your videos, would you consider doing one on hepatitis?

[@sakshibisht6580]

Thanks a lot for such an illustrated explanation in this 3 part series. 🙏💛

[@kanishkadavda2130]

Whats the software being used to write in such lovely colours? gr8 lecture btw!

[@amalelshall1962]

very simple ,clear explanation for complicated issues thank you all my respect

[@carmenburleson1483]

thank you so much for explaining the WHY!!! Now that I know the WHY, I am able to remember the information better!!!

[@djalitanaful]

thank you so much, I listened twice but i got every thing you said. very clear

[@stevewilliams1569]

Great explanation. I learned 2x that of my class. Would like to see more vids. Maybe of Different Urinary disorders, thanks again

[@dharmakayababy]

Very clear thank you! Please more of those!!!

[@kavitanathan6523]

really superb explanation. you are a very great lectuer..

[@misskittyfantastico8407]

At about 7:50 you said that the urine osmo is going to be high, but right before that you said it would be high. I'm confused thanks

[@ThePytyty]

@ 3:59' Kidney stones? unilateral kidney stones it self are less likely to cause post renal failure since the contralateral kidney compensates. Bilateral kidney stones should be obstructing both ureteres. Back to unilateral kidney stones, most likely there're other causes and stone it self is just worsening patient's condition such as: -mono renal -previous chronic renal failure -any other condition mention in your video Other than this observation very good video, excellent teaching skills.

[@asayel12]

Thank u so much...u made it pretty easy and understandable.could u please make videos on cancer ,oncogenes and suppressor cells.thanks again

[@tnagan]

You are an AMAZING teacher. Thank you!

[@ThomasBradleySr]

Easy to follow. Great communication...Thanks!

[@dellinspiron17200]

Fantastic. Thanks a lot. Easy to understand .

[@Stinkikolo]

Thank you for this great video which explain very well the kidneys response to the different types of acute renal failure !

[@AnnPastor-k5j]

Thank you! super great explanation!

[@IM.MEDICAL]

Great lecture!

[@ghost2ghost1987]

The series were really helpful, thank you dr for your efforts:)

[@Neyammy]

Great lecture. Good resource.

[@ned9819]

Thank you for clearing the FENa.

[@ababuyimer4458]

its great job doc, and i would like to say "well done doc". but as a comment it would be more interesting if you could include the treatment part

[@Missamytta]

Can you please explain me why do we find an urea U/P>10 in pre-renal ARF and < 10 in renal ARF, since urea is filtred and reabsorbed, we should have the opposite no?

[@manalmuneeftamer8846]

Very well explained Thank you so mcuh.

[@nyree-dawnnichols9333]

I would love to see this with nephrogenic DI. Is the concept the same as to why they lose so much fluid? Does the ADH alter how sodium is absorbed? How does glucose play a role?

[@punoy45]

Great lecture! Please cover UTI in your next lecture and chronic renal failure:)

[@markyounger1240]

Yes this is a very good lecture!

[@juansarmiento2022]

Another great lecture

[@didiervielot2917]

you are an amazing teacher!!!!!! thank you so much!!!!!!

[@Dr.SirSaeed]

first of all thank you for the great explanations, I have a suggestion for you please whenever you add a video or for your previous videos as well add keyword tags I was searching for a video to explain FENA for almost an hour at last I found it near to the end of this video, thanks again for enlightening the dark medical education path!

[@sansuiq10]

love love love all your info. so easy to understand bec you explained it very clearly

[@Medcram]

+Susie Q Mylove Good to hear- thank you!

[@nichols44nancy]

As always, the medcram videos are very helpful. thanks!!!!!

[@kanishkadavda2130]

DEsperately wanna the software! Can sumone plz tell me

[@ShimmyMD]

Great job! Really enjoyed your method of teaching. I have one question regarding the [urine] in the Pre-renal state. If Na and H2O both get reabsorbed, wouldn't the [urine] stay the same but it would just be lower in volume (i.e. oliguria with no change in [])? Thank you again.

[@jrvalmores3661]

big thanks! grreat lectures!

[@zaidkashmola4283]

Great presentation ,really helpfulllll

[@xattyx]

excellent explanation

[@letslearnarabic2812]

Could you please tell me how doctors would investigate renal failure if a patient is on drugs which affect BUN and Cr levels? To my understanding, that means that they wouldn't necessarily suspect ACF at that stage since it could be the drugs causing the BUN and Cr abnormalities so they would use CT or other forms of diagnosis? Hmm just curious since I guess the only other way is to ask the patient not to take those drugs which I guess might not be practical?