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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8 results
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... leukemia Measure Urine ... Glucose, Acute resp. alkalosis ... FEPO4 β‰₯ 5% - Renal ... β€’ Normal or Low
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
: Differential Diagnosis ... diuretics after renal ... generally indicates a renal ... furosemide-like lesion ... #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 ... - Metabolic Alkalosis ... diagnosis #Algorithm #differential ... #low
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
Hematuria in Post-Renal ... #Transplant #differential ... kidney #blood #urine ... #management #treatment ... #nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Anti-GBM antibody β€’ Urine ... : UA, Urine protein ... hematuria, RBC casts, low ... #diagnosis #management ... #treatment
Methotrexate Renal Toxicity 
Prevention:
 β€’ Alkalinize the urine, keep urine ph >7
 β€’ Start pre-treatment 12
Methotrexate Renal ... , keep urine ph ... see metabolic alkalosis ... #Toxicity #management ... #treatment #nephrology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... very remarkable w/differential ... required due to skip lesions ... Treatment of GCA ... Symptoms #Diagnosis #Management
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
with no primary lesions ... - differential ... diagnosis: β€’ Renal ... #Pruritus #Treatment ... #Nephrology #CKD