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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Hypokalemia Differential Diagnosis Algorithm using Urine Potassium to Creatinine Ratio

#Hypokalemia #Differential #Diagnosis #Algorithm #Potassium #Creatinine #Ratio
Hypokalemia Differential ... Diagnosis Algorithm ... using Urine Potassium ... #Diagnosis #Algorithm ... #Ratio #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... Urine K+ <13 mEq ... #potassium #differential ... #algorithm #diagnosis ... #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 β€’ IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 β€’ IV Fluids
Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... Fluids Shift potassium ... #Hyperkalemia #management ... #potassium #nephrology
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
Hyperkalemia: Diagnostic ... Decreased renal potassium ... #Hyperkalemia #Diagnosis ... #algorithm #nephrology ... #potassium #differential
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... retrieve stone using urine ... Protein diet - Urine ... #Pediatrics #nephrology
Hyponatremia - Differential Diagnosis and Evaluation Algorithm
In addition to edema and urine concentration, always consider urine
Hyponatremia - Differential ... Diagnosis and Evaluation ... addition to edema and urine ... always consider urine ... #Algorithm #nephrology
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
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... uric acid: - Urine ... #Hyponatremia #Differential ... #Algorithm #Diagnosis ... #Nephrology
Toluene Poisoning - Diagnosis and Management Summary
What is it?  Volatile hydrocarbon, Glue or paint-sniffing, Occupational
Toluene Poisoning - Diagnosis ... and Management ... nephrocalcinosis) β€’ Urine ... environment β€’ Potassium ... #Management #Treatment
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan β†’ Indoxyl
Purple Urine Bag ... E.coli*) + alkaline urine ... Syndrome #PUBS #pathophysiology ... clinical #photo #differential ... #diagnosis