Dr. Gerald Diaz @GeraldMD
32.8M 13.9K 7.4K
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
- Checklist Urine ... believed that urine ... Urine eosinophils ... AcuteKidneyInjury #Nephrology ... #CriticalCare
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
differential, urine ... dipstick, urine ... clinical context and signs ... Myeloma: serum / urine ... blood culture, urine
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
diagnosis with direct urine ... Failure to acidify urine ... Distal #Diagnosis #Management ... #Nephrology #Causes
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
hyperkalemia #kaliuresis #management ... #criticalcare # ... diuretics #diuresis #nephrology
The Urine / Plasma Electrolyte Ratio - Guide to Fluid Restriction in Hyponatremia
 β€’ U/P Ratio
The Urine / Plasma ... MD @NephroMD #Urine ... Hyponatremia #diagnosis #management ... #nephrology
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Failure to acidify urine ... Hyperkalemic #Diagnosis #Management ... #Nephrology #RenalTubular
Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... be present or signs ... KUB or abdominal ultrasound ... present β€’ UA and Urine ... also important Management
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... retrieve stone using urine ... Protein diet - Urine ... #Pediatrics #nephrology
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Full Set of Vital Signs ... Setup - Ultrasound ... Shock #Diagnosis #Management ... #Summary #criticalcare
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
#Management #Neurology ... #CriticalCare #