Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential insufficiency management nephrology classification criticalcare overview stimulation acth acute cosyntropin hypotonic injury physiologic primary secondary sodium stimtest table test
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Pre-Renal: • Hypovolemia ... , Distributive Shock ... #nephrology #causes ... #algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... #Algorithm #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... primary OR secondary AI ... primary or secondary AI ... High = primary AI ... #Diagnosis #Algorithm
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
In secondary AI ... Hyperkalemia is ... of AI and a cortisol ... least 18 excludes AI ... of AI - Dr.
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... - Hypotension, shock ... hypoglycemia, Hyponatremia ... , hyperkalemia, ... Stimulation #StimTest #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm ACTH-Dependent (Secondary): • Pituitary Dysfunction • Hypothalamic Dysfunction ACTH-Independent (Primary):
Causes of Adrenal ... - Differential Diagnosis ... Insufficiency #AI ... #Algorithm #Causes ... #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Algorithm Clinical ... Weakness, fatigue, nausea ... , hypotension, hyponatremia ... , hyperkalemia, ... #Algorithm #endocrinology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Losses (AKI, Post-AKI ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... anaphylaxis, toxins/meds ... • Other: AI, ... Classification #diagnosis ... #differential #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... anaphylaxis, toxins/meds ... • Other: AI, ... Classification #diagnosis ... #differential #causes
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