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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General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
sodium excretion ... FENa) could help differentiate ... between pre-renal ... and intrinsic renal ... AcuteKidneyInjury #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Sodium 4) Serum ... High Uric Acid β†’ renal
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... sodium and serum ... sodium low, uric ... #Hyponatremia #Differential ... Algorithm #Diagnosis #Nephrology
Hypokalemia Differential Diagnosis Algorithm using Urine Potassium to Creatinine Ratio

#Hypokalemia #Differential #Diagnosis #Algorithm #Potassium #Creatinine #Ratio
Hypokalemia Differential ... Algorithm using Urine ... Potassium to Creatinine ... #Hypokalemia #Differential ... Creatinine #Ratio #nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 β€’ IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 β€’ IV Fluids
Shift
Fluids Shift potassium ... 90 minutes) β€’ Sodium ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... protein - Low sodium ... Monitoring for extra-renal ... #Pediatrics #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Algorithm and Differential ... blood count with differential ... , urine dipstick ... clinical context and signs ... Workup #Algorithm #Differential
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
algorithm Decreased renal ... potassium excretion ... β€’ Acute renal ... Diagnosis #algorithm #nephrology ... #potassium #differential
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... - Differential ... = Hyperkalemic Renal ... Tubular #Acidosis #Differential ... Diagnosis #Algorithm #nephrology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Failure to acidify urine ... Distal #Diagnosis #Management ... #Nephrology #Causes ... #Differential #