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
Nephritic vs Nephrotic Syndrome ... the patient has hematuria ... have glomerular hematuria ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal/low ... Proteinuria - ++++ Hematuria ... Serum albumin - Low ... #Nephritic #Comparison ... #Diagnosis
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... loss (Diarrhea) Renal ... #Algorithm #causes ... #nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1Β° HPT - 1Β° Renal ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
- Differential Diagnosis ... Algorithm ADH ... Tea and Toast Syndrome ... Beer Potomania - Low ... #nephrology
EULAR/ACR Classification Criteria for Systemic Lupus Erythematosus
Clinical Domains:
 β€’ Constitutional domain: Fever
 β€’ Cutaneous domain: Non-scarring
Classification Criteria ... least 2 joints β€’ Neurologic ... hemolysis β€’ Renal ... Classification #Criteria ... Erythematosus #diagnosis
SLICC SLE Diagnostic Criteria - Systemic Lupus Erythematosus
Clinical and Immunologic Criteria

CLINICAL CRITERIA
 - ACUTE CUTANEOUS LUPUS
SLICC SLE Diagnostic ... - SEROSITIS - RENAL ... - NEUROLOGIC ... anticoagulant - Low ... #Rheumatology #
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 β€’ ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... Criteria HRS-AKI ... , Normal renal ultrasound ... #HRSNAKI #hepatology
Hepatorenal Syndrome Diagnosis
 β€’ ↑ in serum Cr of β‰₯ 0.3mg/dL above baseline
Hepatorenal Syndrome ... Diagnosis β€’ ↑ ... significantly improve renal ... type 2 HRS) β€’ Low ... #nephrology #criteria
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... suggests extra-renal ... consumption β€’ Low ... #Hypokalemia #diagnosis ... #low