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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18 results
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... and Differential Diagnosis ... Investigations: full blood ... #Diagnosis #nephrology
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
proteinuria, RBC casts ... β†’ Refer to Nephrology ... for renal biopsy ... cystoscopy β€’ Refer to Nephrology ... #urology #blood
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
Acute tubular injury ... - Diagnostic of ... acute tubular injury ... Microscopy #Atlas #key #diagnosis ... #nephrology #casts
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... broad - Advanced kidney ... tubulointerstitial nephritis, renal ... edgarvlermamd - Nephrology ... #Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... - Differential Diagnosis ... #AKI #Acute #Kidney ... #Diagnosis #nephrology ... #causes #algorithm
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... dysmorphic RBCs in urine ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
- Differential Diagnosis ... Algorithm Decreased ... Tubulointerstitial injury ... #Differential #Diagnosis ... #Algorithm #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op β€’ Neurologic ... β€’ Drugs β€’ Pulmonary ... GI losses β€’ Renal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
carcinoma (native kidney ... #differential #diagnosis ... #kidney #blood ... #urine #management ... #treatment #nephrology
Drug Induced Kidney Injury
 β€’ Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy
 β€’ Osmotic
Drug Induced Kidney ... Injury β€’ Pre-Renal ... therapy β€’ Osmotic injury ... #differential #diagnosis ... #algorithm #nephrology