Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 โ€ข Cardiac failure: Impaired forward flow,
Common causes of ... Kidney Injury AKI ... - Differential Diagnosis ... inhibitors, hepatorenal syndrome ... #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
dialysis indication (e.g ... require urgent nephrology ... Nephrotoxic drugs (e.g ... you confirmed diagnosis ... #nephrology
Acute Kidney Injury - Classification
Prerenal:
 โ€ข Dehydration
 โ€ข Heart failure (a.k.a. cardiorenal syndrome)
 โ€ข Liver failure
Kidney Injury - Classification ... a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... tubular necrosis (causes ... #diagnosis #nephrology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 โ€ข โ†‘ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... nephrotoxics (e.g ... - No other cause ... #diagnosis #HRSAKI
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... โ€ข Reduced GFR, AKI ... Uosm < 100 mmol/kg ... #Hyponatremia #Nephrology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... (Many causes!) ... โ€ข Infection (e.g ... Brain lesions (e.g ... #diagnosis #neurology
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   โ€ข Prolonged standing
- Differential Diagnosis ... by Classification ... Medication side effect (e.g ... Subclavian steal syndrome ... Medication side effect (e.g
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 โ€ข Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
polyneuropathy (e.g ... Guillain-Barrรฉ syndrome ... Hyperthyroidism, Serotonin syndrome ... #differential #diagnosis ... #table #neurology
Acute Respiratory Distress Syndrome โ€“ ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... objective assessmentโ€œ (e.g ... the underlying cause ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 โ€ข Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
vs Tumor Lysis Syndrome ... high WBC count cause ... fever - ACS, AKI ... unless worrisome EKG ... #TLS #diagnosis