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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Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... e.g. ... ) β€’ Drugs (e.g ... #Diagnosis #nephrology
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 β€’ Dehydration: Diuretics
 β€’ Altered intrarenal autoregulation: ACEIs / ARBs,
calcineurin inhibitors (e.g ... Sympathomimetics (e.g ... anticholinergic effects (e.g ... #pharmacology # ... differential #diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm ... stimulus to ADH β€’ Pain ... trauma β€’ Drugs ... β€’ Reduced GFR, AKI ... Uosm < 100 mmol/kg
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 β€’ Due to true volume loss or decreased
(AKI) - Differential ... Diagnosis Framework ... hepatorenal, sepsis β€’ Drugs ... contrast dye) β€’ AIN ... Diagnosis #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Simplified Approach to Acute ... dialysis indication (e.g ... obstruction, Nephrotoxic drugs ... (e.g NSAlDs) 3 ... #Acute #KidneyInjury
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... β€’ ECG: Bad block ... Connect ECG Leads ... #differential #
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... deviation) β€’ Acute ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... women β€’ DDx: Acute ... -4 can have no pain ... #Ischemia #ECG ... #EKG #diagnosis
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - Relevant drug ... levels (e.g. lithium ... Trauma - Acute ... rigidity) Consider EEG
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Surgical devices, e.g ... Sepsis (β†’ 3-14) e.g ... anaphylaxis (β†’ 3-1) Drug ... malignant syndrome (e.g ... #Hyperthermia #Differential