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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15 results
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... intake β€’ Metabolic ... loss (Diarrhea) Renal ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Normal/low ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Algorithm #nephrology ... #differential #diagnosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... #Hypokalemia #diagnosis ... differential #potassium #nephrology ... #low
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... syndrome: troponin ... #Differential #Diagnosis ... #nephrology #causes
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Hypomagnesemia - Metabolic ... Elevated Renin Urine ... Ultrasound - No ... #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
↑ Aldosterone: Kidney ... Low-normal EABV ... , Low Plasma HCO3 ... differential #algorithm #diagnosis ... #nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
(Goodpasture's syndrome ... #differential #diagnosis ... #kidney #blood ... #urine #management ... #treatment #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
: Differential Diagnosis ... diuretics after renal ... generally indicates a renal ... #Differential #Diagnosis ... #Causes #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... leukemia Measure Urine ... FEPO4 β‰₯ 5% - Renal ... β€’ Normal or Low ... Workup #phosphate #nephrology
Hepatorenal Syndrome Diagnosis
 β€’ ↑ in serum Cr of β‰₯ 0.3mg/dL above baseline
Hepatorenal Syndrome ... Diagnosis β€’ ↑ ... significantly improve renal ... type 2 HRS) β€’ Low ... #nephrology #criteria