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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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
If the patient has ... hematuria (RBC casts ... dysmorphic RBCs in ... #Syndrome #Comparison ... #Algorithm #Nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
Acute Interstitial Nephritis ... When to suspect AIN ... #Interstitial #Nephritis ... #AIN #Algorithm ... #nephrology #diagnosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... acidosis Step 5 - Differential ... glycol (present in ... Diagnosis #Summary #Nephrology ... #VBG #differential
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... become echogenic as ... in this case. ... Jugular #IJ #Vein #POCUS
β–Ί
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
with a peripheral cause ... with a central cause ... therefore be used as ... It has been validated ... #PhysicalExam #Neurology
How much sodium is in 1 Liter of Normal Saline? In Bags if Potato Chips
much sodium is in ... In Bags if Potato ... normal saline has ... normal #saline #ns #nephrology ... #sodium #comparison
Peripheral Vertigo
Time course and symptoms characteristics are very helpful in distinguishing between causes of peripheral vertigo.
Benign
are very helpful in ... distinguishing between causes ... Peripheral #Vertigo #differential ... #diagnosis #comparison
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... restriction alone in ... failure, Cirrhosis, Nephrotic ... #Hyponatremia #differential ... table #sodium #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
complications such as ... The next step in ... wasting from other causes ... diagnosis #Algorithm #differential ... #potassium #nephrology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
β€’ Inflammatory/AI ... Peripheral #Neuropathy #differential ... #diagnosis #causes ... #neurology