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πŸƒ DPT Nephrology Curriculum

Nephrology for Doctor of Physical Therapy Students β€” A Small Specialty Track

Audience: Doctor of Physical Therapy (DPT) students. Content used in Andy's lectures for the Clarke University DPT Program (and cross-referenced in selected UDPA PA lectures). The main nephrology curriculum for PA students, medical students, and residents is the full Lecture Series + Primer + Clinical Mastery. This page collects the PT-framed subset.

πŸ“– Full Lectures

Case-driven 45–60 minute HTML lectures with learning objectives, check-your-understanding, and PubMed-cited evidence.

Module 1

Hydration & the "Pushing Water" Question

Two-axis framework (tonicity vs volume), seven high-risk populations, EAH, five teaching scripts.

45–60 min Β· 4 cases Β· 10 MCQs
Module 2

High-Salt Foods & Tonicity-Decoupling

Why sports drinks fail the ICU test; sodium-from-water decoupling; less-salt override populations.

45–60 min Β· 4 cases Β· 10 MCQs
Module 3

Protein, Kidneys, and the Rehab Patient

PROT-AGE targets, per-meal rule (Moore 2015), CKD→ESRD reversal, sarcopenia toolkit.

45–60 min Β· 4 cases Β· 10 MCQs
Module 4

Creatine Supplementation

Creatinine artifact vs real GFR; Gualano 2010 51Cr-EDTA proof; Chilibeck 1.37 kg lean-mass benefit; AIN recognition.

45–60 min Β· 4 cases Β· 10 MCQs
Module 5

NSAIDs & Pain Management

Triple whammy (Lapi 2013), three renal harms, topical-first bundle: Voltaren gel + lidocaine patch + percussion massage.

45–60 min Β· 4 cases Β· 10 MCQs

πŸ–¨οΈ Printable Handouts

Quick-reference handouts built for clinical rotation β€” tables, red flags, teaching scripts in a scannable printable format.

Module 1

Hydration

Two-axis framework, population guidance table, red flags, patient-teaching scripts.

Module 2

High-Salt Foods & Tonicity-Decoupling

Master table, sodium vs water separately, sports-drink critique, less-salt override.

Module 3

Protein, Kidneys, and the Rehab Patient

Per-meal targets, sarcopenia toolkit, CKD→ESRD reversal.

Module 4

Creatine Supplementation

The creatinine artifact, evidence for older adults, AIN pattern.

Module 5

NSAIDs & Pain Management

Triple whammy, topical-first bundle, sick-day rules.

Module 6

GLP-1 Receptor Agonists

Mechanism, cardiorenal evidence (FLOW), muscle-mass during rapid weight loss.

🩺 Case Studies

Interactive 45–60 minute cases with progressive disclosure, clinical reasoning, and cross-links to pharmacology content.

Case 26

Beta Blockers in the Cardiac-Rehab Patient

HR isn't the target β€” RPE is. And never tell them to stop.

Case 27

SGLT2 Inhibitors in the Post-Op HFpEF Patient

Peri-op holds, euglycemic DKA, and why you don't just tell the patient to stop.

Case 28

Diuretics in the Exercising Cardiac-Rehab Patient

Volume, electrolytes, orthostasis β€” every visit, every patient.

Case 29

ACEi / ARB / ARNI β€” RAAS Blockade

Hyperkalemia, cough, angioedema, peri-op holds β€” and why exercise hemodynamics shift.

Case 30

RAAS + Diuretic + Heat β€” Orthostasis

The summer cardiac-rehab stack: lisinopril + furosemide + sweat loss. Recognize, intervene, teach.

Full Index

All DPT Cases β†’

DPT-scoped case collection with subtitles, drug tags, and cross-links.

πŸ“ Suggested Learning Pathway

1

Foundation

Start with the Renal Physiology handout for the filtration/transport/regulation primer.

2

Modules 1–5

Read the 5 handouts first for fast orientation, then the full lectures for depth.

3

Cases 26–30

Apply the modules to cardiac-rehab scenarios with progressive-disclosure cases.

4

Deep-Dive (optional)

For PA-program-depth, start with UDPA PA Curriculum or the Lecture Series (sodium disorders, edema, cardiorenal, CKD).

πŸ”— Related Main-Site Resources

Foundation

Renal Physiology Primer

The filtration/transport/regulation handout that underlies the DPT track.

Deep Dive

Sodium Disorders

PA-program depth β€” hyponatremia, hypernatremia, SIADH.

Deep Dive

Edema & Fluid Overload

Circulation-cycle pathophysiology relevant to CHF/CKD rehab patients.

Deep Dive

Cardiorenal Disease

Four-pillar GDMT, HFpEF, diuretic resistance β€” the parent of the cases.

🧭 Other Audience-Scoped Views

PA Track

πŸŽ“ UDPA PA Curriculum

The complete four-tier pathway for Physician Assistant students β€” 4-week rotation schedule included.

Rotator Track

πŸ”‘ Rotator Curriculum

High-yield focused reading for students rotating with Andy β€” 6 tracks, approximately 2-week sequence.

Full Map

πŸ—ΊοΈ Full Integration Map

Comprehensive four-tier view of every topic across every teaching modality.