Dr. Gerald Diaz @GeraldMD
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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
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... differential, urine ... dipstick, urine ... clinical context and signs ... imaging #Acute #Kidney
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... Monitoring for extra-renal ... Stones #Management #Pediatrics ... #nephrology #nephrolithiasis
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
Hematuria in Post-Renal ... carcinoma (native kidney ... differential #diagnosis #kidney ... #blood #urine # ... management #treatment #nephrology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Totally scuppers the kidney's ... diagnosis with direct urine ... Failure to acidify urine ... Diagnosis #Management #Nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... broad - Advanced kidney ... tubulointerstitial nephritis, renal ... edgarvlermamd - Nephrology ... Microscopy #Diagnosis #Nephrology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Elevated Renin Urine ... autosomal dominant kidney ... Ultrasound - No ... diagnosis of echogenic kidneys ... Diagnosis #Workup #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... A urine K/Cr ratio ... suggests extra-renal ... • Diarrhea A urine ... differential #potassium #nephrology
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
of COVID-19 • Neurologic ... Anosmia, Stroke • Renal ... : Acute kidney injury ... Extrapulmonary #Diagnosis #Signs
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
vitals, and dirty urine ... Right renal sag ... Urine culture-Proteus ... POCUS #clinical #ultrasound ... #renal
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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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