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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Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Abdominal Compartment Syndrome ... Pigment, Protein) β€’ AIN ... nephrology #causes #algorithm
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... nephritis (AIN) ... tract infection β€’ Medications ... Classification #diagnosis
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 β€’ Dehydration: Diuretics
 β€’ Altered intrarenal autoregulation: ACEIs / ARBs,
Medications causing ... (AKI) Prerenal: ... , tenofovir β€’ AIN ... #Drugs #pharmacology ... #differential #diagnosis
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Acute Kidney Injury ... (AKI) - Management ... β€’ Hepatorenal syndrome ... specific treatment β€’ AIN ... #Acute #Kidney
ED Opioid Stewardship Algorithm

Opioid Naive vs Opioid Tolerant

1. Patient Specific, Pain Syndrome-Targeted Approach
2. Combinations of Non-Pharmacologic
Patient Specific, Pain ... Syndrome-Targeted ... Combinations of Non-Pharmacologic ... Medication Assisted ... #Management #Pain
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Hepatorenal Syndrome ... - Diagnosis and ... Management Summary ... a precipitant: Medications ... treatment in HRS-AKI
Vancomycin Associated Acute Kidney Injury

 β€’ Drug induced acute kidney injury is generally defined as a
nephrotoxic agents, the dose ... #Vancomycin #AKI ... #pharmacology # ... toxicology #diagnosis ... #management #nephrology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Propofol infusion syndrome ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare #diagnosis ... #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... abdominal compartment syndrome ... Pain control - ... gram Q6hr) and pain-dose ... Pancreatitis #Checklist #Diagnosis
Orthopedic Emergencies
Compartment Syndrome
 β€’ An increase in compartment pressure to the point where tissue perfusion is
this maneuver does ... days after an acute ... β€’ Diagnosis: ... - Intense pain ... days, the local pain