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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Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine ... → Urine culture ... for renal biopsy ... and referral to Urology ... Algorithm #Workup #urology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
differential, urine ... dipstick, urine ... cryoglobulins, hepatitis serology ... , HIV serology, ... blood culture, urine
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Renal Tubular Acidosis ... Decreased Serum K, Urine ... = Hyperkalemic Renal ... uncimchiefs #RTA #Renal ... Diagnosis #Algorithm #nephrology
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... differentiate between pre-renal ... and intrinsic renal ... AcuteKidneyInjury #Nephrology
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Diagnosis Algorithm Urine ... Water Diuresis (Urine ... Mixed Diuresis (Urine ... Dl • Chronic Renal ... Algorithm #causes #nephrology
Sulfa Crystals on Urine Microscopy Sulfa Crystal! Drug-induced crystalluria is a cause of acute renal failure
Sulfa Crystals on Urine ... cause of acute renal ... solubles in acidic urine ... Sulfa #Crystals #Urine ... crystalluria #clinical #nephrology
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 Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... serum magnesium x urine ... cells FEMg >4% = renal ... magnesium loss if renal ... diagnosis #causes #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Osmolarity 2) Urine ... Osmolarity 3) Urine ... High Uric Acid → renal ... Diagnosis #Algorithm #nephrology
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... diagnosis with direct urine ... Failure to acidify urine ... Diagnosis #Management #Nephrology
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... cells - Normal • Renal ... also be seen if urine ... contamination #Urine ... key #diagnosis #nephrology
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