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 acute algorithm hyponatremia injury kidneyinjury metabolic stones workup alkalosis casts chloride classification hypokalemia hypotonic low management microscopy
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... microscopy / urinary ... osmolarity If cause ... clinical context and signs ... #causes
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Approach to Acute Kidney ... Injury (AKI) 1 ... circulating volume, Urinary ... PROBLEM ~80% of AKI ... IMPROVEMENT If the urine
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Common causes of ... Acute Kidney Injury ... AKI - Differential ... Koratala @NephroP #AKI ... #causes #Acute
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... tubular necrosis (causes ... prolonged prerenal AKI ... Neurogenic bladder • Urinary ... #Acute #Kidney
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Reduced GFR, AKI ... Hypo-osmolar urine ... suppression • Primary
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis - Urinary ... alkalosis • Kidney ... the indicated causes ... Metabolic #Alkalosis #Urinary ... #Algorithm #nephrology
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 ... White blood cell - Urinary ... amzn.to/34t5DgJ #Urinary
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... Targeted Rx: • PRIMARY ... Stones #Management #Pediatrics ... #nephrology #nephrolithiasis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... wasting from other causes ... A urine K/Cr ratio ... • Diarrhea A urine ... mEq/g suggests urinary
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... Renal Losses (AKI ... water intake (Primary ... table #sodium #nephrology
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