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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Acanthocytes in motion on Urine Microscopy - Phase Contrast

Dr. Jay R. Seltzer @jrseltzer

#Acanthocytes #motion #Urine #Microscopy
Acanthocytes in ... motion on Urine ... Microscopy - Phase ... #Microscopy #clinical ... #nephrology
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Glitter Cells on Urine Microscopy
Glitter cells in the urine are viable and pale staining WBCs with
Microscopy Glitter ... cells in the urine ... viscosity as occurs in ... #Microscopy #clinical ... #nephrology
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Acanthocyte on Urine Microscopy

Not a spaceship, not a UFO, just an acanthocyte caught β€œflying” in dark
Acanthocyte on Urine ... Microscopy Not ... #Acanthocyte #Urine ... #Microscopy #clinical ... #nephrology
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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
dysmorphic RBCs in ... urine)? ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
What's in a Blood Gas? VBG vs ABG

BOTTOM LINE: VBG is less painful, more easily obtained
What's in a Blood ... sensitivity & 100% NPV in ... #EBM #Diagnosis ... Differences #Versus #Comparison ... PCO2 #Studies #Conversion
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
examination, check urine ... uric acid: - Urine ... hyponatremia - Urine ... Differential #Algorithm #Diagnosis ... #Nephrology
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 #ns #nephrology ... #sodium #comparison ... #hotdogs #conversion
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 β€’ AKI, AKD, rapidly progressive
When to suspect AIN ... eosinophiluria, microscopic ... associated with AIN ... #Algorithm #nephrology ... #diagnosis
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
Main types of autoimmune ... encephalitis in ... #encephalitis #comparison ... #table #neurology ... #diagnosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
The next step in ... A urine K/Cr ratio ... β€’ Diarrhea A urine ... #Hypokalemia #diagnosis ... differential #potassium #nephrology