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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Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... clinical context and signs ... Abdominal compartment syndrome ... β€’ Cardio-renal syndrome ... cardiac imaging #Acute
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... paraproteinemia, acute ... leukemia Measure Urine ... resp. alkalosis ... β€’ Normal or Low
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Appropriately Low ... , Acute Respiratory ... Alkalosis, Tumor ... Hyperparathyroidism, TKI
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
β€’ Normal/low ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Algorithm #nephrology ... #differential #
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
: Differential Diagnosis ... volume contracted: urine ... postchronic hypercapnia (acute ... #Differential # ... Diagnosis #Causes #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... Impaired forward flow ... inhibitors, hepatorenal syndrome ... #Diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... β€’ Diarrhea A urine ... - Metabolic Alkalosis ... 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 ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #differential ... table #sodium #nephrology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
fever - ACS, AKI ... , acute limb ischemia ... WBC >100k, + lab signs ... , Elevated Cr, Low ... calcium β€’ Treatment
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) β€’ Renal: (AKI ... Anti-GBM antibody β€’ Urine ... : UA, Urine protein ... #differential # ... diagnosis #management #treatment