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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Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... microscopy / urinary ... osmolarity If cause ... investigations abnormal ... #causes
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... fresh at time of microscopy ... #Microscopy #Atlas ... key #diagnosis #nephrology
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 β€’ Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... Amitriptyline, Propofol ... Syndrome - UTI caused ... Garcia @Alexgr23 #Abnormal ... Differential #Diagnosis #nephrology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... renal function is normal ... Hypomagnesemia #algorithm ... differential #diagnosis #causes ... #nephrology #magnesium
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
nonspecific; seen in normal ... and concentrated urine ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... A urine K/Cr ratio ... β€’ Diarrhea A urine ... consumption β€’ Low/Normal
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis β€’ Normal ... In a normal gap ... the indicated causes ... #Algorithm #nephrology
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Cardiac: multiple case ... β€’ WBC usually normal ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
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 ... Urine Na+K / serum ... table #sodium #nephrology