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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Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
- Urinary Chloride ... the indicated causes ... #Urinary #Chloride ... #nephrology #differential ... #diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... microscopy / urinary ... clinical context and signs ... #nephrology #causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... A urine K/Cr ratio ... β€’ Diarrhea A urine ... mEq/g suggests urinary ... #Hypokalemia #diagnosis
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
Atlas of Urine Microscopy ... - Diagnostic of ... crystals may indicate metabolic ... Microscopy #Atlas #key #diagnosis ... #nephrology #casts
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 ... #Microscopy #Diagnosis ... #Nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Approach to Acute Kidney ... circulating volume, Urinary ... are caused by prerenal ... IMPROVEMENT If the urine ... you confirmed diagnosis
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
Causes of Metabolic ... : Differential Diagnosis ... > 20 meq/L β€’ Primary ... #Differential #Diagnosis ... #Causes #nephrology
Metabolic Causes of Kidney Stones in Children
 β€’ Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
Metabolic Causes ... Calcium Oxalate: Primary ... #Causes #Kidney ... #Stones #pediatrics ... #diagnosis
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Hypomagnesemia - Metabolic ... Elevated Renin Urine ... - Normal Renal Ultrasound ... of echogenic kidneys ... #Workup #nephrology
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
bilateral, malignant, pediatric ... cases, not associated ... Symptoms and Signs ... common symptoms and signs ... in carbohydrate metabolism