Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
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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14 results
Step by Step Algorithmic Approach to Pediatric Fever

Age < 21 days old (or 28 days for
Algorithmic Approach to Pediatric ... Leukocytes in the urine ... ANC > 10000 #Pediatrics ... #Peds #Diagnosis ... #Management #StepByStep
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... Managment: • Pain ... retrieve stone using urine ... #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
Bronchiolitis Management

When to admit: 
- Any history of apnoea 
- Persistant sats < 92% 
- Inadequate
Bronchiolitis Management ... (<50% normal) Signs ... Bronchiolitis #Management ... #diagnosis #Peds ... #Pediatrics #Admission
Total Anomalous Pulmonary Venous Return (TAPVR)
 • Introduction
 • Classification
 • Pathophysiology of TAPVR
 • Presentation
PVO Present • Diagnosis ... Classic “snowman sign ... Pre-Operative Management ... Return #TAPVR #diagnosis ... #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 ... Failure to acidify urine ... #Management #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
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
carcinoma (native kidney ... #differential #diagnosis ... #kidney #blood ... #urine #management ... #treatment #nephrology
“Step by Step” – the new kid on the block – aims to risk stratify this
leukocytes in urine ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics ... #Peds #Febrile
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... be present or signs ... KUB or abdominal ultrasound ... present • UA and Urine ... #management