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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21 results
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... osmolarity If cause ... clinical context and signs ... #nephrology #causes
Urine Color - Differential Diagnosis
Red Urine:
 β€’ Medical conditions: bleeding, porphyria, factitious disorder
 β€’ Meds: rifampin,
Diagnosis Red Urine ... : β€’ Any cause of ... dyes typically cause ... #Differential #Diagnosis ... discoloration #nephrology
Epiglottitis - Swollen inflamed epiglottis 
Clinical (Rapid onset) 
 β€’ Fever 
 β€’ Sore throat
#Epiglottitis #Signs ... #Causes #Diagnosis ... #Differential #Peds ... #Pediatrics
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 ... #Management #Nephrology ... #Causes #Differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Kidney ... Cl- outside the kidneys ... the indicated causes ... #Algorithm #nephrology ... #differential #diagnosis
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Approach to Acute Kidney ... IMPROVEMENT If the urine ... you confirmed diagnosis ... CONSIDER INTRINSIC CAUSES ... simplified #workup #diagnosis
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... acute and chronic kidney ... #Urine #Microscopy ... #nephrology #interpretation ... #diagnosis
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
Acute Kidney Injury ... tubular necrosis (causes ... : sepsis, meds, ... Classification #diagnosis ... #nephrology
Newborn Assessment - APGAR Score

Assessment of newborn vital signs following labor via a 10-point scale evaluated
newborn vital signs ... develop long-term neurologic ... #Diagnosis #Peds ... #Pediatrics #APGAR
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... broad - Advanced kidney ... edgarvlermamd - Nephrology ... Differential #Microscopy #Diagnosis ... #Nephrology