Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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How much sodium is in 1 Liter of Normal Saline? In Bags if Potato Chips
in 1 Liter of Normal ... Chips 1 L of normal ... Thus, 1 L of normal ... #saline #ns #nephrology ... #sodium #comparison
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... examination, check urine sodium ... acid: - Urine sodium ... #Differential #Algorithm ... #Diagnosis #Nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 β€’ Sodium 130 mEq/L
 β€’
Ringers (LR) vs Normal ... Saline (NS) - Comparison ... shift β€’ Saline Causes ... β€’ Saline May Cause ... #Saline #NS #comparison
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... Losses: β€’ Normal ... #Algorithm #causes ... potassium #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... volume-based algorithm ... #differential #diagnosis ... #nephrology
Metabolic and Respiratory Acidosis and Alkalosis - Diagnostic Algorithm

Anion gap - MUDPILES: 
 - Methanol (formic
and Alkalosis - Diagnostic ... Algorithm Anion ... Salicylates (late) Normal ... infusion #Diagnosis ... Recommended Text: Nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
- Differential Diagnosis ... Algorithm High ... or Normal PTH: ... Malignancy β€’ Normal ... #nephrology #PTH
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... and negative (normal ... with a central cause ... #Diagnosis #PhysicalExam ... #Neurology #AVS
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis