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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14 results
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
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 β€’ Tissue injury
 β€’ Hemolysis
 β€’ Rhabdomyolysis
 β€’
HyperKalemia - Differential ... β€’ Tumor lysis syndrome ... β€’ Metabolic acidosis ... glycosides β€’ High acute ... Elimination: β€’ AKI
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 ... consumption β€’ Low ... diagnosis #Algorithm #differential ... #low
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Normal/low ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Algorithm #nephrology ... #differential #
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... paraproteinemia, acute ... leukemia Measure Urine ... β€’ Normal or Low ... - Normal or Low
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
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
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
Causes of Metabolic ... Alkalosis: Differential ... postchronic hypercapnia (acute ... #Alkalosis #Differential ... Diagnosis #Causes #nephrology
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Neuropathy β€’ Metabolic ... Paraprotein-associated (POEMS syndrome ... Fabry's disease, Acute ... Peripheral #Neuropathy #differential ... diagnosis #causes #neurology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Appropriately Low ... , Acute Respiratory ... Hyperparathyroidism, TKI ... Diagnosis #Algorithm #nephrology