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 ... Congestion β€’ Medications ... AKI: β€’ Urinary ... #Acute #Kidney
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... #Acute #Kidney ... #Injury #Differential ... #Diagnosis #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... thromboembolism, renal ... OBSTRUCTIVE β€’ Urinary ... #Diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... urine microscopy / urinary ... calcium Optional: urinary ... cardiac imaging #Acute ... #Kidney #Injury
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
t-PA, heparin Acute ... Shift: β€’ Lactic acidosis ... , DKA Kidney Disease ... : β€’ AKI, CKD ... Increased Renal
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acute or chronic ... Differentials? ... Compensation, Acute ... acetaminophen dosing ... Diagnosis #Summary #Nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low Kidney ... Refeeding Syndrome, Acute ... Respiratory Alkalosis ... β€’ N Vitamin D: Primary ... Hyperparathyroidism, TKI
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
individuals or during ... casts are seen in acute ... broad - Advanced kidney ... tubulointerstitial nephritis, renal ... #Casts #Differential
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... mEq/g suggests urinary ... - Metabolic Alkalosis ... - Metabolic acidosis
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
: Differential Diagnosis ... postchronic hypercapnia (acute ... chronic respiratory acidosis ... diuretics after renal ... #Differential #