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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Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... , Distributive Shock ... Abdominal Compartment Syndrome ... : • Vascular: Emboli ... #algorithm
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential Diagnosis ... vasoconstriction (e.g ... inhibitors, hepatorenal syndrome ... #nephrology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... (Acute: previously ... 20% HAS) • No shock ... nephrotoxics (e.g
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Pericardial tamponade, Pulmonary ... embolism 2) Understand ... #inopressors #diagnosis ... #management #comparison ... #table
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential Diagnosis ... Algorithm Syndrome ... • Drugs • Pulmonary ... • Reduced GFR, AKI ... Uosm < 100 mmol/kg
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
• Obstructive: Pulmonary ... Embolism, Tension ... Abdominal compartment syndrome ... #criticalcare #algorithm ... #treatment #management
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... polyneuropathy (e.g ... #differential #diagnosis ... #table #neurology
Mesenteric Ischemia - Differential Diagnostic Schema Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA) Acute - Venous
GPA, IgA, MPA) Acute ... inflammation (e.g ... - Thrombus / Embolism ... Antiphospholipid syndrome ... #algorithm
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute ... embolism or severe ... Classification #Types #diagnosis ... #management #cold ... warm #wet #dry #table
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... Tamponade - Pulmonary ... >> Acute PE, Tension ... #Diagnosis #Management
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