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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23 results
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Investigations: full blood ... clinical context and signs ... screen, including blood ... imaging #Acute #Kidney
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
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Symptoms of UTI, urine ... WBCs, or urine ... β†’ Urine culture ... for renal biopsy ... #blood #urine
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... broad - Advanced kidney ... disease Red blood ... Glomerulonephritis White blood ... tubulointerstitial nephritis, renal
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... Monitoring for extra-renal ... Stones #Management #Pediatrics ... #nephrology #nephrolithiasis
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
NSAIDS and their effects on the Kidney - Pathophysiology

Arachidonic Acid metabolites into alternative pathways that modify
effects on the Kidney ... and decreased renal ... blood flow: Pre ... Nephritis Necrosis of kidney ... KidneyDisease #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Kidney ... Cl- outside the kidneys ... β€’ Normal/low blood ... high in kidney ... #Algorithm #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 ... β€’ Diarrhea A urine ... losses: β€’ High Blood
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Diagnosis and Workup Blood ... Elevated Renin Urine ... autosomal dominant kidney ... Ultrasound - No ... Diagnosis #Workup #nephrology