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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Algorithm for the management of children with nephrotic syndrome and steroid resistant nephrotic syndrome (SRNS)

#nephrotic #syndrome
Algorithm for the management ... with nephrotic syndrome ... #nephrotic #syndrome ... steroid #resistant #nephrology ... #peds #pediatrics
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 ... causes: sepsis, meds ... prolonged prerenal AKI ... Classification #diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm Syndrome ... β€’ Drugs β€’ Pulmonary ... β€’ Nephrotic syndrome ... β€’ Reduced GFR, AKI ... #Hyponatremia #Nephrology
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
of Hepatorenal Syndrome ... edgarvlermamd - Nephrology ... #HepatoRenal #Syndrome ... #Nephrology #Management ... #Pharmacology #
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 β€’ Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... titratable IV meds ... Encephalopathy #Syndrome ... #Treatment #Management ... #Neurology
Vancomycin Associated Acute Kidney Injury

 β€’ Drug induced acute kidney injury is generally defined as a
#Vancomycin #AKI ... #pharmacology # ... toxicology #diagnosis #management ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
cirrhosis, nephrotic syndrome ... Stress, Nausea, Pulmonary ... , CNS Disease, Meds ... Algorithm #diagnosis #nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... Renal Syndromes ... EGPA) β€’ Renal: (AKI ... #Renal #Syndromes ... differential #diagnosis #management
Behcet's Syndrome - Treatment
Ulcers:
 β€’ Treatment: Topical steroids
 β€’ Prevention: Colchicine
 β€’ Azathioprine for refractory disease
Arthritis:
Behcet's Syndrome ... immunosuppressive meds ... Behcets #disease #Syndrome ... #Treatment #management ... #pharmacology #
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 β€’
people with sepsis, AKI ... REMOVE UNECCESARY MEDS ... Early nephrologv ... improved survival in AKI ... Fluid #Balance #management