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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12 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 2) Urine ... Uric Acid - Low ... High Uric Acid β†’ renal ... #Differential #
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... intake β€’ Metabolic ... acidosis: Gl tract ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Normal/low ... Urine chloride is ... urine chloride ... #Algorithm #nephrology ... #differential #
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Acidosis (RTA) ... Distal #Diagnosis #Management ... #Nephrology #Causes ... #Differential #
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... acidosis: Proximal ... diagnosis #Algorithm #differential ... #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... can be high or low ... Primary polydipsia), Low ... #differential # ... table #sodium #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
Alkalosis: Differential ... chronic respiratory acidosis ... diuretics after renal ... furosemide-like lesion ... #Alkalosis #Differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) β€’ Renal ... : metabolic acidosis ... vomiting/diarrhea), renal ... Classification #diagnosis #management ... #criticalcare #differential
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) β€’ Renal ... : metabolic acidosis ... vomiting/diarrhea), renal ... Classification #diagnosis #management ... #criticalcare #differential
5-Oxoprolinuria
What is it:
 β€’ Aka pyroglutamic acidosis, Intermediate in Ξ³-glutamyl cycle
 β€’ Amino acid transport and
Aka pyroglutamic acidosis ... Inborn errors of metabolism ... β€’ Liver and renal ... 5-oxoproline (slow ... Oxoprolinuria #diagnosis #management