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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8 results
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... microscopy / urinary ... calcium Optional: urinary ... investigations depending on clinical ... context and signs
Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy
Kidney stone type ... sediment, urinary ... and associated clinical ... #Diagnosis #Nephrology ... #Urinary #Kidney
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
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... Targeted Rx: β€’ PRIMARY ... Stones #Management #Pediatrics ... #nephrology #nephrolithiasis
Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... Signs/Symptoms: ... be present or signs ... KUB or abdominal ultrasound ... present β€’ UA and Urine
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
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Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Elevated Renin Urine ... excretion of Cl > 0.5% Clinical ... autosomal dominant kidney ... - Normal Renal Ultrasound ... Diagnosis #Workup #nephrology
TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites
Not uncommon during nephrology rounds in
TIE Fighter Sign ... uncommon during nephrology ... confused with urinary ... #POCUS #ultrasound ... #clinical #ascites
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