Dr. Gerald Diaz @GeraldMD
33.9M 14.0K 7.4K
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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25 results
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... dipstick, urine ... electrolytes, urea, uric acid ... clinical context and signs ... imaging #Acute #Kidney
NSAID vs ACEI/ARB effects on the Kidneys

Remember that NSAIDs and ACEI/ARB therapy have opposing effects on
effects on the Kidneys ... effects on the kidneys ... patients have CKD ... ACEIARB #Effects #Nephrology ... #Renal #Pathophysiology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Utilizing Uric Acid ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... β†’ renal salt wasting ... Diagnosis #Algorithm #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Monitoring for extra-renal ... d-Penicillamine, ascorbic acid ... Stones #Management #Pediatrics ... #nephrology #nephrolithiasis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Kidney ... Cl- outside the kidneys ... poisoning Normal acid-base ... and potassium acid ... #Algorithm #nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
Hematuria in Post-Renal ... carcinoma (native kidney ... differential #diagnosis #kidney ... #blood #urine # ... management #treatment #nephrology
NSAIDS and their effects on the Kidney - Pathophysiology

Arachidonic Acid metabolites into alternative pathways that modify
effects on the Kidney ... Arachidonic Acid ... and decreased renal ... Nephritis Necrosis of kidney ... KidneyDisease #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
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 β€’ ↑ Creatinine
No structural kidney ... haematuria, Normal renal ... ultrasound HRS-NAKI ... Type 2) β€’ HRS-AKD ... ascites β€’ HRS-CKD
Effects of Prostaglandins and NSAIDs on the Kidney
Effects of Prostaglandins on the Kidney:
 β€’ The vasodilatory
NSAIDs on the Kidney ... Prostaglandins on the Kidney ... is increased in CKD ... Prostaglandins #NSAIDs #Kidney ... #renal #nephrology