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 AKI:
 β€’ Hypovolemia
 β€’ Congestion
 β€’ Medications
 β€’
Acute Kidney Injury ... (AKI) - Differential ... Diagnosis Framework ... Infection-mediated, Drug-induced ... #Diagnosis #nephrology
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 β€’ Dehydration: Diuretics
 β€’ Altered intrarenal autoregulation: ACEIs / ARBs,
Medications causing Acute ... Kidney Injury (AKI ... , tenofovir β€’ AIN ... #pharmacology # ... differential #diagnosis
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
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
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm ... stimulus to ADH β€’ Pain ... /Post-op β€’ Neurologic ... trauma β€’ Drugs ... β€’ Reduced GFR, AKI
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 - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... - Differential ... Avoiding nephrotoxic drugs ... Kidney #Injury #AKI ... #Differential #
Vancomycin Associated Acute Kidney Injury

 β€’ Drug induced acute kidney injury is generally defined as a
induced acute kidney ... #Vancomycin #AKI ... #pharmacology # ... toxicology #diagnosis ... #management #nephrology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
and Management ... disease (rare), and drugs ... , Muscle/joint pain ... A STIM test can ... ACTH STIM TEST: