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 ... nephrotic/nephritic syndromes ... dysmorphic RBCs in urine ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Workup Algorithm ... and Differential Diagnosis ... β€’ Cardio-renal syndrome ... #Workup #Algorithm ... #nephrology #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential Diagnosis ... Algorithm Syndrome ... β€’ Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... table #sodium #nephrology
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 β€’ Shed in the urine, feces, saliva of
β€’ Shed in the urine ... Cardiopulmonary Syndrome ... β€’ Prodrome: fever ... +/- diarrhea Diagnosis ... #management #treatment
β€œStep by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... an infant with fever ... leukocytes in urine ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics
Fever vs Hyperthermia
Fever:
 β€’ Regulated in the hypothalamic thermoregulatory center
 β€’ "Set point" raised by prostaglandin
Fever vs Hyperthermia ... Neuroleptic malignant syndrome ... ; Serotonin syndrome ... #Hyperthermia #comparison ... #diagnosis #management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
- 80% have fever ... - ACS, AKI, ... organ damage β€’ Treatment ... #TLS #diagnosis ... #management #hematology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
(Goodpasture's syndrome ... #differential #diagnosis ... kidney #blood #urine ... #management #treatment ... #nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal Syndromes ... EGPA) β€’ Renal: (AKI ... Anti-GBM antibody β€’ Urine ... : UA, Urine protein ... #management #treatment