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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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
/nephritic syndromes ... hematuria (RBC casts ... #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis
 - Prerenal
 - ATN
 - AIN
 -
Kidney Injury (AKI ... Syndrome - Nephritic ... #Urinalysis #diagnosis ... #table #comparison ... #nephrology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Syndrome and Nephritic ... Syndrome == Nephrotic ... #Syndrome #Nephritic ... #Comparison #Table ... #Nephrology #Diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... Malignancy True hypovolemia ... Cirrhosis β€’ Nephrotic ... GFR, AKI/CRF Hormonal
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 β€’ Tissue injury
 β€’ Hemolysis
 β€’ Rhabdomyolysis
 β€’
Causes of HyperKalemia ... - Differential Diagnosis ... β€’ Tumor lysis syndrome ... Elimination: β€’ AKI ... #Causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Present (Uosm β‰₯100): Hypovolemia ... failure, Cirrhosis, Nephrotic ... syndrome) β€’ ADH ... #differential #diagnosis ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
and Differential Diagnosis ... osmolarity If cause ... β€’ Interstitial nephritis ... β€’ Cardio-renal syndrome ... #nephrology #causes
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... - Differential Diagnosis ... Pre-Renal: β€’ Hypovolemia ... Abdominal Compartment Syndrome ... #nephrology #causes
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
a.k.a. cardiorenal syndrome ... tubular necrosis (causes ... Acute interstitial nephritis ... Classification #diagnosis ... #nephrology
Gitelman Syndrome Pathophysiology
Gitelman Syndrome is a rare autosomal recessive salt-losing tubulopathy with a prevalence of 1-
Pathophysiology ... thiazide-sensitive sodium-chloride ... H+ secretion β†’ Hypokalemia ... #Pathophysiology ... #nephrology #diagnosis