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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True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... examination, check urine ... uric acid: - Urine ... #Hyponatremia #Differential ... Algorithm #Diagnosis #Nephrology
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan β†’ Indoxyl
Purple Urine Bag ... E.coli*) + alkaline urine ... BrighamChiefs #Purple #Urine ... Syndrome #PUBS #pathophysiology ... clinical #photo #differential
Hyponatremia - Differential Diagnosis and Evaluation Algorithm
In addition to edema and urine concentration, always consider urine
Hyponatremia - Differential ... addition to edema and urine ... always consider urine ... #Hyponatremia #Differential ... Evaluation #Algorithm #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Algorithm and Differential ... blood count with differential ... , urine dipstick ... , urine microscopy ... Workup #Algorithm #Differential
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 β€’ Primary
Polyuria - Differential ... Diagnosis Algorithm Urine ... Water Diuresis (Urine ... #Polyuria #Differential ... Algorithm #causes #nephrology
Hypokalemia Differential Diagnosis Algorithm using Urine Potassium to Creatinine Ratio

#Hypokalemia #Differential #Diagnosis #Algorithm #Potassium #Creatinine #Ratio
Hypokalemia Differential ... Algorithm using Urine ... #Hypokalemia #Differential ... Creatinine #Ratio #nephrology
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Symptoms of UTI, urine ... WBCs, or urine ... β†’ Urine culture ... β†’ Refer to Nephrology ... #blood #urine
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis β†’
Wasting vs SIADH - Pathophysiology ... β†’ Increased urine ... SaltWasting #SIADH #Pathophysiology ... #diagnosis #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... #Hyponatremia #Differential ... Diagnosis #Algorithm #nephrology
Urine Color - Differential Diagnosis
Red Urine:
 β€’ Medical conditions: bleeding, porphyria, factitious disorder
 β€’ Meds: rifampin,
Urine Color - Differential ... Diagnosis Red Urine ... spinach) Orange Urine ... #Color #Differential ... discoloration #nephrology