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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diagnosis differential algorithm causes physicalexam video management kidney hypokalemia hyponatremia hypomagnesemia hypophosphatemia pathophysiology potassium acute aki anesthesia criteria half hypertension
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... Normal Acid-Base: Low ... loss (Diarrhea) Renal ... causes #potassium #low ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
urinary sediment, renal ... renal biopsy • ... eosinophiluria, renal ... markers • Cardio-renal ... Differential #Diagnosis #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... - Normal or Low ... #phosphate #nephrology
Hypomagnesemia - Differential Diagnosis Renal Causes of Hypomagnesemia - Familial: Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Differential Diagnosis Renal ... hypomagnesemia Renal ... Hypercalcemia, Post renal ... diagnosis #causes #nephrology ... #magnesium #low
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
HYPOVOLEMIC • extra-renal ... - fevers • renal ... • nephrotic syndrome ... • renal failure ... #Algorithm #Nephrology
Hypophosphatemia Diagnostic Algorithm - GI Losses - Redistribution - 1° HPT - 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1° HPT - 1° Renal ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #differential #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... Diagnosis #Algorithm #Workup
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Tea and Toast Syndrome ... Beer Potomania - Low ... • Renal Failure ... Hypovolemic - GI losses, renal ... Algorithm #causes #nephrology
Mechanisms of nephron damage in cardiorenal syndrome • Increased renal interstitial pressure • Hypoperfusion • Reduced
in cardiorenal syndrome ... • Increased renal ... Hypoperfusion • Reduced renal ... blood flow • ... pathophysiology #nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... #nephrology #PTH
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