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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12 results
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Inappropriate renal ... Inappropriate renal ... disease Renal Imaging ... : - Normal Renal ... #Workup #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... β€’ Metabolic acidosis ... loss (Diarrhea) Renal ... Bartter syndrome, Gitelman
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential Diagnosis ... Shift: β€’ Lactic acidosis ... , DKA Kidney Disease ... CKD Increased Renal ... #phosphate #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
urinary sediment, renal ... renal biopsy β€’ ... eosinophiluria, renal ... protein-electrophoresis, renal ... markers β€’ Cardio-renal
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Acidosis (RTA) ... Totally scuppers the kidney's ... much easier to diagnosis ... #Management #Nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
- Differential Diagnosis ... gastrointestinal K loss β€’ Renal ... hypokalemia β€’ Renal ... tubular acidosis ... Bartter's syndrome, Gitelman's
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Differential Algorithm Acidosis ... Renal artery stenosis ... Differential #Algorithm #Diagnosis ... #Causes #Workup ... #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... Bartter syndrome, Gitelman ... - Metabolic acidosis ... #Hypokalemia #diagnosis
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
: Differential Diagnosis ... chronic respiratory acidosis ... diuretics after renal ... generally indicates a renal ... furosemide-like lesion) β€’ Gitelman
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 β€’
pancreas, biliary, renal ... PET-CT Imaging (β†’ Diagnostic ... lesions, meninges, kidneys ... management #phenotypes #workup ... #treatment #rheumatology