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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19 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... β€’ nephrotic syndrome ... β€’ renal failure ... #Diagnosis #Workup ... #Algorithm #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... Pain/Post-op β€’ Neurologic ... GI losses β€’ Renal ... #Nephrology #Differential
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Tea and Toast Syndrome ... β€’ Renal Failure ... Algorithm #causes #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... - Differential Diagnosis ... Abdominal Compartment Syndrome ... SCVMCMed #AKI #Acute ... #nephrology #causes
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
Hypophosphatemia - Differential Diagnosis Algorithm
 β€’ Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 β€’ Redistribution/
- Differential Diagnosis ... into cells - Acute ... ), Hungry bone syndrome ... β€’ Renal losses ... Algorithm #causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... β‰₯100): SIADH, Renal ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... table #sodium #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
- Differential Diagnosis ... inhibitors, hepatorenal syndrome ... thromboembolism, renal ... tumors INTRINSINC RENAL ... #nephrology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... the severity Acute ... Respiratory Distress Syndrome ... #differential #diagnosis ... #signs #Lung #POCUS
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... paraproteinemia, acute ... Insulin/Glucose, Acute ... FEPO4 β‰₯ 5% - Renal ... Workup #phosphate #nephrology