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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Glomerular Diseases - Spectrum
 - Insidious vs Acute
 - Nephritic (hypertension, hematuria, renal failure) vs Nephrotic
Glomerular Diseases ... Mehr @poyanmehr #Glomerular ... #Diseases #Spectrum ... #differential #diagnosis ... #nephrology
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... β€’ Evidence of glomerular ... β†’ Refer to Nephrology ... cystoscopy β€’ Refer to Nephrology
Spectrum of Glomerular Diseases
Nephrotic - Mechanism:
 β€’ Injury to podocytes
 β€’ Changed architecture: Scanning. Deposition of
Spectrum of Glomerular ... Diseases Nephrotic ... #Diseases #differential ... #spectrum #diagnosis ... #nephrology #nephritic
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
vascular supply; glomerular ... and interstitial disease ... GBM, Glomerular ... #Diagnosis #AKI ... Causes #Sites #Nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 β€’ Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential Diagnosis ... #Differential #Diagnosis ... #Algorithm #Workup ... #nephrology #PTH
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Differential Diagnosis ... sclerosis β€’ Anti-Glomerular ... #differential #diagnosis ... #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 β€’ Hypovolemia
 β€’ Congestion
 β€’ Medications
 β€’
- Differential Diagnosis ... β€’ Vascular β€’ Glomerular ... Immune-complex disease ... #Differential #Diagnosis ... #nephrology
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
red - cells Non-glomerular ... Red cell casts - Diagnostic ... of glomerular disease ... Microscopy #Atlas #key #diagnosis ... #nephrology #casts
Intrinsic Renal Disease - Differential Diagnosis
Vascular:
 β€’ Macrovascular: Renal artery occlusion, Fibromuscular disease
 β€’ Microvascular: TTP/HUS,
Intrinsic Renal Disease ... - Differential Diagnosis ... HTN, Vasculitis Glomerular ... #nephrology #differential ... #diagnosis
Sickle Cell Disease (SCD) Nephropathy
 β€’ Cortical Manifestations
    - Main issue: Hemolysis-associated endothelial
Sickle Cell Disease ... Proteinuria - Glomerular ... #SickleCell #Disease ... #Nephropathy #diagnosis ... #differential #nephrology