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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Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Ascites Ascites Workup ... Hepatic Hydrothorax AKI ... Cirrhosis, HRS-AKI ... Complications #diagnosis ... #management #gastroenterology
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis
 - Prerenal
 - ATN
 - AIN
 -
Kidney Injury (AKI ... - Nephritic Syndrome ... #Urinalysis #diagnosis ... #table #comparison ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Workup Algorithm ... and Differential Diagnosis ... osmolarity If cause ... #Workup #Algorithm ... #nephrology #causes
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury (AKI ... require urgent nephrology ... you confirmed diagnosis ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Workup for Hyperphosphatemia ... - Differential Diagnosis ... Rhabdomyolysis, Tumor lysis syndrome ... Kidney Disease: β€’ AKI ... #phosphate #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... - Differential Diagnosis ... Abdominal Compartment Syndrome ... Medicine @SCVMCMed #AKI ... #nephrology #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... Algorithm Syndrome ... β€’ Reduced GFR, AKI ... #Hyponatremia #Nephrology
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... tubular necrosis (causes ... Classification #diagnosis ... #nephrology
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 β€’ Tissue injury
 β€’ Hemolysis
 β€’ Rhabdomyolysis
 β€’
Causes of HyperKalemia ... β€’ Tumor lysis syndrome ... Elimination: β€’ AKI ... blockers - MCW Nephrology ... #Causes
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Red blood cell casts ... edgarvlermamd - Nephrology ... Nephritic #Comparison #Table ... #Nephrology #Diagnosis