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 ... - Differential Diagnosis ... Abdominal Compartment Syndrome ... Pigment, Protein) β€’ AIN ... nephrology #causes #algorithm
Hypocalcemia - Diagnosis and Management
PTH Independent (↑ PTH)
 β€’ LOW VIT D
    -
Hypocalcemia - Diagnosis ... and Management ... Liver disease, Kidney ... Transfusions - Medications ... #differential #algorithm
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
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 β€’ Dehydration: Diuretics
 β€’ Altered intrarenal autoregulation: ACEIs / ARBs,
Medications causing ... Acute Kidney Injury ... , tenofovir β€’ AIN ... #Drugs #pharmacology ... #differential #diagnosis
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... interstitial nephritis (AIN ... tract infection β€’ Medications ... Classification #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... Abdominal compartment syndrome ... #criticalcare # ... algorithm #treatment ... #management
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
Prostate cancer β€’ Medications ... (Goodpasture's syndrome ... #differential #diagnosis ... #kidney #blood ... #urine #management
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 ... #AKI #Acute #Kidney
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... abdominal compartment syndrome ... Pain control - ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
Post-Intensive Care Syndrome ... CAM-ICU) - Pain ... IntensiveCare #Syndrome ... #PICS #diagnosis ... #management #criticalcare