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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Pulmonary Renal Syndrome: Investigations and Management

#Pulmonary #Renal #Syndrome #Diagnosis #Workup #Management
Pulmonary Renal ... Investigations and Management ... #Pulmonary #Renal ... #Syndrome #Diagnosis ... #Workup #Management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... life-threatening diseases ... Inflammatory eye disease ... mononeuritis multiplex WORKUP ... #management #treatment
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Differential Diagnosis ... for Pulmonary Renal ... #differential #diagnosis ... #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... - Differential Diagnosis ... acidosis, DKA Kidney Disease ... CKD Increased Renal ... #phosphate #nephrology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 β€’ Occupational exposure - Farmers, ranchers, trappers, veterinarians
 β€’ Recreational
: Jaundice + renal ... failure β€’ Severe pulmonary ... disease ARDS Diagnosis ... #microbiology #diagnosis ... #treatment #management
Multifocal Atrial Tachycardia (MAT)
β€’ At least 3 different P wave morphologies: 
β€’ Rate 100-180
β€’ Irregular 
Etiology
to chronic lung disease ... β€’ Hypoxia β€’ Pulmonary ... β€’ Oxygen β€’ Treatment ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
Hematuria in Post-Renal ... , Busulfan β€’ Disease ... #differential #diagnosis ... #blood #urine #management ... #treatment #nephrology
Massive Hemoptysis - Diagnosis and Management
 β€’ Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... β€’ Workup β€’ General ... Massive #Hemoptysis #Diagnosis ... #Management #treatment ... #workup #pulmonary
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Differential Diaqnoses ... hepatitis β€’ Pulmonary ... #diagnosis #management ... #treatment #rheumatology
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 β€’
IgG4-Related Disease ... pancreas, biliary, renal ... IgG4 #Related #Disease ... #diagnosis #management ... #phenotypes #workup