Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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causes algorithm aki injury kidney low workup hypokalemia hypomagnesemia hyponatremia phosphate acidosis blood casts criticalcare diseases framework hematuria hypophosphatemia kidneyinjury
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Diagnosis Framework ... , Distributive Shock ... #Diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Algorithm and Differential ... Diagnosis Baseline ... cardiac imaging #Acute ... #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework PRE-Renal AKI: • Hypovolemia • Congestion • Medications •
Acute Kidney Injury ... (AKI) - Differential ... Diagnosis Framework ... Congestion • Medications ... #Diagnosis #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... repeat testing • Acute ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
FENa) could help differentiate ... between pre-renal ... performance for diagnosing ... acute tubular interstitial ... AcuteKidneyInjury #Nephrology
Hypotension / Shock Differential Diagnosis Algorithm Hypovolemic: • Poor oral intake • Hemorrhage • Renal loss •
Differential Diagnosis ... Hemorrhage • Renal ... pancreatitis • Medication ... #Hypotension #Differential ... #Diagnosis #Algorithm
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
tubular cells - Acute ... Red cell casts - Diagnostic ... protein indicating acute ... disorders or excreted medications ... #nephrology #casts
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
- Differential ... Diagnosis Algorithm ... Tubular #Acidosis #Differential ... #Diagnosis #Algorithm ... #nephrology
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Polyuria - Differential ... Diagnosis Algorithm ... Dl • Chronic Renal ... #Diagnosis #Algorithm ... #causes #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 2) Urine ... High Uric Acid → renal ... #nephrology #sodium
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