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
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... and Differential Diagnosis ... β€’ Cardio-renal syndrome ... #Workup #Algorithm
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
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
- Differential Diagnosis ... Algorithm Appropriately ... , Acute Respiratory ... Hyperparathyroidism, TKI ... #phosphorus #workup
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