Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential algorithm treatment workup hypokalemia hyponatremia acute kidney low physicalexam aki nephrotic ophthalmology potassium renal sodium table discoloration metabolic microscopy
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... • Drugs • Pulmonary ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology ... #Diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified ... uw_IMresidency #Hematuria #Diagnosis
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome • Urine Chloride • Urine Ca/Cr ratio Dr. Krithika
from Bartter syndrome ... • Urine Chloride ... • Urine Ca/Cr ... Bartter #Algorithm #nephrology ... #hypokalemia #diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
and Differential Diagnosis ... osmolarity If cause ... • Cardio-renal syndrome ... #Differential #Diagnosis ... #nephrology #causes
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... with direct urine ... Failure to acidify urine ... #Management #Nephrology ... #Causes #Differential
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... Diagnosis Turbid ... UTI caused by (Proteus ... #Differential #Diagnosis ... #nephrology
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
- Differential Diagnosis ... Algorithm Urine ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Urine Specific Gravity - Interpretation Specific Gravity = Density of urine / Density of water SG close to
Urine Specific Gravity ... Gravity = Density of urine ... Dehydration • SIADH (syndrome ... Interpretation #diagnosis ... #differential #nephrology
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology ... Differential #Microscopy #Diagnosis ... #Nephrology
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