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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diagnosis nephrology algorithm workup acid disorders hypophosphatemia metabolic abg acidbase aki bloodgas casts causes chloride evaluation framework gas hypokalemia injury
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Evaluation and Differential ... the chronicity (acute ... , chronic, or acute ... can be done by using ... Ketoacidosis, Renal
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
- Urinary Chloride ... poisoning Normal acid-base ... #Urinary #Chloride ... urine #Algorithm #nephrology ... #differential #
Acute Kidney Injury (AKI) - Differential Diagnosis Framework PRE-Renal AKI: • Hypovolemia • Congestion • Medications •
Acute Kidney Injury ... (AKI) - Differential ... Congestion • Medications ... AKI: • Urinary ... Diagnosis #nephrology
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Acute or chronic ... Compensation, Acute ... acetaminophen dosing ... bloodgas #Acid #Base
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low Kidney ... Refeeding Syndrome, Acute ... Respiratory Alkalosis ... • N Vitamin D: Primary ... inhibitor, Estrogen based
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 ... - Metabolic Alkalosis ... - Metabolic acidosis ... diagnosis #Algorithm #differential
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... paraproteinemia, acute ... resp. alkalosis ... FEPO4 ≥ 5% - Renal ... Denosumab, Estrogen based
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
: Differential Diagnosis ... postchronic hypercapnia (acute ... chronic respiratory acidosis ... diuretics after renal ... #Differential #
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