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 ... Diagnosis HEMODYNAMIC ... Interstitial Nephritis (AIN ... #Diagnosis #nephrology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... week of becoming acute ... without chest pain ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Normalization Spodick's sign ... segments, usually best ... also be seen in acute ... #ECG #electrocardiogram ... #cardiology #diagnosis
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 β€’ Dehydration: Diuretics
 β€’ Altered intrarenal autoregulation: ACEIs / ARBs,
Kidney Injury (AKI ... , tenofovir β€’ AIN ... Medications #Drugs #pharmacology ... #differential # ... diagnosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Diagnosis Framework ... Pigment, Protein) β€’ AIN ... #Diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Diagnosis Baseline ... clinical context and signs ... cardiac imaging #Acute ... #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 β€’ Due to true volume loss or decreased
(AKI) - Differential ... Diagnosis Framework ... contrast dye) β€’ AIN ... #Differential # ... Diagnosis #nephrology
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
β€’ Wellens sign ... deviation) β€’ Acute ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women β€’ DDx: Acute ... Equivalents / Don't Miss Signs ... -4 can have no pain ... #EKG #diagnosis ... #electrocardiogram
Primary and Secondary Headaches - Red Flags and Differential Diagnosis
Red Flags (SNOOP):
S - Systemic		
N - Neurologic
Red Flags and Differential ... Diagnosis Red ... Systemic N - Neurologic ... Eye/Temple β€’ Pain ... Hypoglycemia Anatomy - Acute