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 acute algorithm causes injury workup hyponatremia kidneyinjury metabolic stones alkalosis casts chloride hypokalemia hypophosphatemia hypotonic low management microscopy
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... / urinary sediment ... calcium Optional: urinary ... clinical context and signs ... imaging #Acute #Kidney
Acute Kidney Injury (AKI) - Differential Diagnosis Framework PRE-Renal AKI: • Hypovolemia • Congestion • Medications •
Acute Kidney Injury ... (AKI) - Differential ... : • Urinary Retention ... #Acute #Kidney ... #Diagnosis #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
causes of Acute Kidney ... Injury AKI - Differential ... OBSTRUCTIVE • Urinary ... cervical cancer) • Urinary ... #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Prerenal: • Due to true volume loss or decreased
(AKI) - Differential ... obstruction along the urinary ... Trauma to the urinary ... #Injury #AKI #Differential ... #Diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... • Reduced GFR, AKI ... Hypo-osmolar urine ... suppression • Primary ... #Differential #
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis - Urinary ... alkalosis • Kidney ... Metabolic #Alkalosis #Urinary ... #Algorithm #nephrology ... #differential #
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
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 ... #Casts #Differential
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
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Appropriately Low Kidney ... Inappropriately High Kidney ... • N Vitamin D: Primary ... Hyperparathyroidism, TKI
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