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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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... dysmorphic RBCs in urine ... Nephritic #Nephrotic #Syndrome ... Comparison #Algorithm #Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
differential, urine ... dipstick, urine ... clinical context and signs ... Abdominal compartment syndrome ... • Cardio-renal syndrome
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 • Urine Chloride
 • Urine Ca/Cr ratio

Dr. Krithika
from Bartter syndrome ... • Urine Chloride ... • Urine Ca/Cr ... #Gitelman #syndrome ... Bartter #Algorithm #nephrology
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Parinaud's Syndrome ... retraction (Collier's sign ... → "setting sun sign ... gabifpucci #Parinauds #Syndrome ... diagnosis #pineal #neurology
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
• Drummond's syndrome ... (blue diaper syndrome ... Bag Syndrome - ... Myoglobinuria, Nutcracker syndrome ... Differential #Diagnosis #nephrology
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... • Ophthalmologic ... Cardiovascular and vital sign ... ucsdim #Serotonin #Syndrome ... Symptoms #spectrum #signs
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Nephrotic syndrome ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Aldosterone: Cushing syndrome ... excess, Liddle syndrome ... deficiency, Bartter syndrome ... , Gitelman syndrome ... algorithm #diagnosis #nephrology
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
movement, is a sign ... characteristic sign ... with Marfan’s syndrome ... PhysicalExam #Video #Ophthalmology ... #Signs #Ocular
Simultagnosia on Physical Exam (Balint Syndrome)

The patient can recognize objects one at a time but cannot
Physical Exam (Balint Syndrome ... Simultagnosia #Balint #Syndrome ... clinical #video #neurology ... #ophthalmology