Dr. Gerald Diaz @GeraldMD
32.8M 13.9K 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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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 ... differential, urine ... dipstick, urine ... clinical context and signs ... imaging #Acute #Kidney
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
Urinoma and Calyceal rupture on Renal Ultrasound
Sudden onset Rt flank pain.  Patient has right distal
rupture on Renal Ultrasound ... right distal UVJ stone ... Distal UVJ stone ... #kidney #clinical ... #urology
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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
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 ... fingers and then toes ... Diagnosis #Peds #Pediatrics
Metabolic Causes of Kidney Stones in Children
 β€’ Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
Metabolic Causes of Kidney ... Stones in Children ... Metabolic #Causes #Kidney ... #Stones #pediatrics ... #nephrology #differential
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
Bear Paw Sign of ... vitals, and dirty urine ... Urine culture-Proteus ... Robert Jones @RJonesSonoEM ... POCUS #clinical #ultrasound
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Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Elevated Renin Urine ... autosomal dominant kidney ... - Normal Renal Ultrasound ... diagnosis of echogenic kidneys ... Diagnosis #Workup #nephrology