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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differential causes hyponatremia low hypokalemia acidosis potassium workup aki distal management renaltubular tubular acute acutekidneyinjury alkalosis blood cerebral checklist chloride
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Renal Tubular Acidosis ... - Differential Diagnosis ... Algorithm Decreased ... #Differential #Diagnosis ... #Algorithm #nephrology
Renal Tubular Acidosis - Diagnosis Algorithm • Hyperkalemic Type 4 RTA • Hypokalemic Type 1 RTA
- Diagnosis Algorithm ... • RTA of renal ... #RTA #Renal #Tubular ... #Acidosis #Diagnosis ... #Algorithm #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Algorithm - Utilizing ... Osmolarity 2) Urine ... Sodium 4) Serum ... High Uric Acid → renal ... #Algorithm #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... sodium and serum ... sodium low, uric ... #Differential #Algorithm ... #Diagnosis #Nephrology
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
sodium excretion ... fractional excretion of sodium ... and intrinsic renal ... performance for diagnosing ... AcuteKidneyInjury #Nephrology
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Acidosis (RTA) ... much easier to diagnosis ... with direct urine ... #Management #Nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... Algorithm • Confirm ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - Failure to acidify urine in collecting duct
Hyperkalemic Distal Renal ... Tubular Acidosis (RTA ... Failure to acidify urine ... #Hyperkalemic #Diagnosis ... #Management #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Neurological event 2) Sodium ... → Increased urine ... Pathophysiology #diagnosis ... #nephrology #hyponatremia ... #comparison
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