Dr. Gerald Diaz @GeraldMD
32.8M 13.9K 7.4K
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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16 results
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... osmolarity If cause ... clinical context and signs ... imaging #Acute #Kidney ... #causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Kidney ... Cl- outside the kidneys ... high in kidney ... the indicated causes ... #Algorithm #nephrology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Totally scuppers the kidney's ... diagnosis with direct urine ... Failure to acidify urine ... Diagnosis #Management #Nephrology ... #Causes #Differential
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... retrieve stone using urine ... Stones #Management #Pediatrics ... #nephrology #nephrolithiasis
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Approach to Acute Kidney ... require urgent nephrology ... are caused by prerenal ... IMPROVEMENT If the urine ... workup #diagnosis #nephrology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... Casts • Hyaline ... acute and chronic kidney ... #Urine #Microscopy ... #nephrology #interpretation
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... broad - Advanced kidney ... edgarvlermamd - Nephrology ... Microscopy #Diagnosis #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... wasting from other causes ... A urine K/Cr ratio ... suggests extra-renal causes ... • Diarrhea A urine
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
of COVID-19 • Neurologic ... • Renal: Acute kidney ... Gastrointestinal: Diarrhea, Nausea ... Extrapulmonary #Diagnosis #Signs
Horseshoe Kidney on Point of Care Ultrasound (POCUS)

When kept as a Talisman, a horseshoe is said
Horseshoe Kidney ... Point of Care Ultrasound ... it brings good urine ... #Ultrasound #POCUS ... #clinical #nephrology
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