Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential algorithm physicalexam clinical syndrome video workup hyponatremia treatment microscopy nephrotic casts discoloration glomerular kidney sodium acidosis acute aki alkalosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified ... uw_IMresidency #Hematuria #Diagnosis
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... with direct urine ... Failure to acidify urine ... #Management #Nephrology ... #Causes #Differential
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
and Differential Diagnosis ... osmolarity If cause ... clinical context and signs ... #Differential #Diagnosis ... #nephrology #causes
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... myopathy, Muscular dystrophy ... , Myotonic dystrophy ... #differential #diagnosis ... #neurology
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
- Differential Diagnosis ... Algorithm Urine ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Gowers' Sign on Physical Exam Caused by proximal muscle weakness typically seen in muscular dystrophy #Gowers #Sign #PhysicalExam
Gowers' Sign on ... Physical Exam Caused ... seen in muscular dystrophy ... #Gowers #Sign ... #PhysicalExam #neurology
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 Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... Pain/Post-op • Neurologic ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... IMPROVEMENT If the urine ... you confirmed diagnosis ... simplified #workup #diagnosis ... #nephrology
Bell's Phenomenon on Physical Exam Carles Bell realized that when trying to close the eye on the
Physical Exam Carles ... Bells #Phenomenon #Sign ... #PhysicalExam #ophthalmology ... #neurology
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 Urine Color - Differential Diagnosis Red Urine: • Medical conditions: bleeding, porphyria, factitious disorder • Meds: rifampin,
Diagnosis Red Urine ... : • Any cause of ... dyes typically cause ... #Differential #Diagnosis ... discoloration #nephrology
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