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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diagnosis differential nephrology algorithm comparison management aki hyponatremia microscopy treatment workup clinical criticalcare kidney cardiology casts classification injury lung nephrotic
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... sodium excretion ... fractional excretion of sodium ... for diagnosing acute ... AcuteKidneyInjury #Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... osmolarity If cause ... • Cardio-renal syndrome ... cardiac imaging #Acute ... #causes
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... Guillain-Barré syndrome ... differential #diagnosis #table ... #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Hypo-osmolar urine
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
repeat testing • Acute ... WBCs, or urine ... → Urine culture ... proteinuria, RBC casts ... if cause not identified
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology
Pulmonary Histoplasmosis Syndromes - Acute - Subacute - Chronic - Progressive Disseminated https://pubmed.ncbi.nlm.nih.gov/32000281/ #Pulmonary #Histoplasmosis #Syndromes #diagnosis #comparison
Pulmonary Histoplasmosis ... Syndromes - Acute ... pubmed.ncbi.nlm.nih.gov/32000281/ #Pulmonary ... Histoplasmosis #Syndromes ... diagnosis #comparison #table
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... (blue diaper syndrome ... Bag Syndrome - ... UTI caused by (Proteus ... Differential #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis - Prerenal - ATN - AIN -
Acute Kidney Injury ... UTI - Nephrotic Syndrome ... - Nephritic Syndrome ... Urinalysis #diagnosis #table ... #comparison #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases ... Algorithm #diagnosis #nephrology ... #sodium
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