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 ... hypertension, hematuria, renal ... #Diseases #Spectrum ... #differential #diagnosis ... #nephrology
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
Causes of Hematuria - Glomerular vs Non-glomerular

== Glomerular ==
- Glomerulonephritis 
- Thin basement membrane disease 

==
basement membrane disease ... Pyelonephritis - Renal ... Polycystic kidney disease ... #Algorithm #Diagnosis ... #Differential #Urology
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 ... for renal biopsy ... #Algorithm #Workup
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Differential Diagnosis ... for Pulmonary Renal ... sclerosis β€’ Anti-Glomerular ... #nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Syndromes - OnePager Summary ... mononeuritis multiplex WORKUP ... hypercellular glomeruli ... #management #treatment
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
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
Intrinsic Renal Disease - Differential Diagnosis
Vascular:
 β€’ Macrovascular: Renal artery occlusion, Fibromuscular disease
 β€’ Microvascular: TTP/HUS,
Intrinsic Renal ... Diagnosis Vascular ... HTN, Vasculitis Glomerular ... #Disease #nephrology ... #differential #diagnosis
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