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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Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal/low ... Red blood cell casts ... Serum albumin - Low ... #Nephritic #Comparison ... #Table #Nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Ureterosigmoidoscopy β€’ HTN, Low ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
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 ... #Comparison #Algorithm ... #Nephrology #Diagnosis
LOW MOLECULAR WEIGHT HEPARIN (LMWH) DOSING RECOMMENDATIONS (Enoxaparin and Dalteparin):
 - VTE PROPHYLAXIS
 - VTE TREATMENT
LOW MOLECULAR WEIGHT ... ACUTE CORONARY SYNDROME ... #Prophylaxis #Pharmacology ... #Management
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Diagnosis Renal Causes ... Familial: Bartter syndrome ... and Gitelman syndrome ... #nephrology #magnesium ... #low
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 β€’ High Al, Low R - Primary aldosteronism
 β€’ High Al, High
Hypertensive: β€’ High Al, Low ... acid, Liddle's Syndrome ... , Gitelman's syndrome ... Diagnosis #Algorithm #nephrology ... #causes #low #potassium
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Tea and Toast Syndrome ... Beer Potomania - Low ... failure, nephrotic syndrome ... Diagnosis #Algorithm #causes ... #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 #
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... suggests extra-renal causes ... consumption β€’ Low ... differential #potassium #nephrology ... #low
Multi-System Inflammatory Syndrome in Children (MIS-C) vs. Kawasaki Disease
CDC Case Definition for MIS-C;
 β€’ < 21
Multi-System Inflammatory Syndrome ... Kawasaki Disease CDC Case ... Positive COVID testin now ... MISC #Kawasaki #Comparison ... #Inflammatory #Syndrome