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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26 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Peripheral edema, Disease-specific ... for Pulmonary Renal ... vasculitis, Behcet disease ... Goodpasture's Disease
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
congenital heart disease ... hypertension; CXR ... veno-occlusive disease ... , chronic lung disease ... #Hypertension #Workup
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
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
Presentation: β€’ Mild disease ... Meningitis β€’ Weil's Disease ... : Jaundice + renal ... disease ARDS Diagnosis ... #treatment #management
Suggested diagnostic algorithm where clinical suspicion for renal artery stenosis exists
Suspicion of fibromuscular disease - Suspicion
Suggested diagnostic ... fibromuscular disease ... atherosclerotic renovascular disease ... stenosis #algorithm #workup ... #nephrology #diagnosis
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 ... urine #management #treatment ... #nephrology
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 β€’
IgG4-Related Disease ... pancreas, biliary, renal ... with response to treatment ... IgG4 #Related #Disease ... #phenotypes #workup
Drug Induced Kidney Injury
 β€’ Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy
 β€’ Osmotic
Injury β€’ Pre-Renal ... therapy, Diuretics CAR-T ... β€’ Glomerular Disease ... #differential #diagnosis ... #algorithm #nephrology
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
hematogenous spread of a disease ... Differential Diagnosis ... thyroid, melanoma, renal ... #differential #diagnosis ... #pulmonary #CXR