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
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
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
States has bilat ... travel hx, home meds ... partially seen shred sign ... NOT definitively diagnose ... POCUS #clinical #ultrasound
β–Ί
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≀6 months old on day β‰₯7
15,000/mm3, and urine ... effusion, or z scores ... clinical and lab signs ... #Diagnosis #Peds ... #Pediatrics #Kawasaki
Metabolic Causes of Kidney Stones in Children
 β€’ Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
Metabolic Causes of Kidney ... Stones in Children ... #Stones #pediatrics ... #nephrology #differential ... #diagnosis
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
vitals, and dirty urine ... Diagnosis/differential ... Urine culture-Proteus ... Robert Jones @RJonesSonoEM ... POCUS #clinical #ultrasound
β–Ί
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Elevated Renin Urine ... autosomal dominant kidney ... - Normal Renal Ultrasound ... of echogenic kidneys ... #Workup #nephrology
Pediatrics Sepsis Screening
SIGNS OF INFECTION?
 β€’ Fever (>38C)
 β€’ Hypothermia (<36C)
 β€’ Cough/chest pain/respiratory distress
 β€’
Pediatrics Sepsis ... Screening SIGNS ... β€’ ↓ feeding, ↓ urine ... Sepsis #Screening #Pediatrics ... #peds #diagnosis