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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nephrology diagnosis differential clinical algorithm causes management pocus workup hematuria microscopy urology acute aki biopsy blood cystic disease stones acidosis
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
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... cells - Normal • Renal ... also be seen if urine ... contamination #Urine ... key #diagnosis #nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... acute and chronic kidney ... #Urine #Microscopy ... #nephrology #interpretation
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... broad - Advanced kidney ... tubulointerstitial nephritis, renal ... edgarvlermamd - Nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine ... → Urine culture ... proteinuria, RBC casts ... for renal biopsy ... #blood #urine
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
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Approach to Acute Kidney ... require urgent nephrology ... PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts
Autosomal dominant PCKD with liver involvement on Renal Ultrasound Multiple anechoic cysts seen in the kidney and
Ultrasound Multiple ... anechoic cysts ... seen in the kidney ... #kidney #cystic ... #disease #Ultrasound
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