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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Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy
Kidney stone type ... corresponding urine ... #Diagnosis #Nephrology ... #Urine #Microscopy ... #Urinary #Kidney
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... using urine strainer ... : Liver and/or kidney ... #Pediatrics #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... clinical context and signs ... imaging #Acute #Kidney ... #Differential #Diagnosis
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency
 β€’ Increased osmotic load (Increased
- Differential Diagnosis ... mannitol), Chronic kidney ... β€’ Inability of kidneys ... Pelvic Muscle Tone ... #Differential #Diagnosis
Urine Specific Gravity - Interpretation
Specific Gravity = Density of urine / Density of water
SG close to
Urine Specific Gravity ... Gravity = Density of urine ... 1.010: β€’ Advanced kidney ... Interpretation #diagnosis ... #differential #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Kidney ... Cl- outside the kidneys ... high in kidney ... #Algorithm #nephrology ... #differential #diagnosis
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Totally scuppers the kidney's ... much easier to diagnosis ... with direct urine ... Failure to acidify urine ... #Management #Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 β€’ Due to true volume loss or decreased
Acute Kidney Injury ... - Differential Diagnosis ... stone β€’ Tumor ... #Differential #Diagnosis ... #nephrology
Newborn Assessment - APGAR Score

Assessment of newborn vital signs following labor via a 10-point scale evaluated
newborn vital signs ... Apgar scores < 7 ... develop long-term neurologic ... #Diagnosis #Peds ... #Pediatrics #APGAR
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis β†’
β†’ Increased urine ... Sinead Stoneman @Stones ... Pathophysiology #diagnosis ... #nephrology #hyponatremia