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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31 results
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 ... and referral to Urology ... #urology #blood
Causes of Hematuria - Glomerular vs Non-glomerular

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

==
vs Non-glomerular ... basement membrane disease ... Polycystic kidney disease ... #Algorithm #Diagnosis ... #Differential #Urology
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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager Summary ... life-threatening diseases ... mononeuritis multiplex WORKUP ... hypercellular glomeruli ... #management #treatment
Tularemia - Diagnosis and Management Summary
Francisella tularensis - Aerobic fastidious gram-negative Coccobacillus - Zoonotic Infection
 β€’
and Management Summary ... : Serology (preferred ... Culture & GS, PCR Treatment ... : β€’ Severe Disease ... #management #treatment
Causes of Hematuria - Differential Diagnosis
Renal:
 - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
- Differential Diagnosis ... Renal: - Glomerular ... necrosis, Sickle cell disease ... #Differential #Diagnosis ... #Causes #urology
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 β€’ Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE) - Diagnosis ... and Management Summary ... β€’ Immunologic Workup ... life-threatening β€’ Treatment ... Evolution: Chronic disease
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
disease 24- ... disease. ... #testing #workup ... #diagnosis #glomerulonephritis ... nephrotic #nephritic #nephrology
Korsakoff Syndrome
Clinical Findings:
 β€’ Confabulation: Usually initial phase of the disease
 β€’ Anterograde amnesia: Memory impairment
initial phase of the disease ... Encephalopathy Treatment ... Korsakoff #Syndrome #neurology ... #diagnosis
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management Summary ... Tamponade - Pulmonary ... #criticalcare #treatment ... #workup