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:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... : β€’ Hypovolemia ... #AKI #Acute #Kidney ... #Diagnosis #nephrology
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
- Differential ... sensitivity in kidneys ... ) - Medications ... hypercalcemia - Chronic hypokalemia ... Diagnosis #Table
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 β€’ Hypovolemia
 β€’ Congestion
 β€’ Medications
 β€’
Acute Kidney Injury ... (AKI) - Differential ... AKI: β€’ Hypovolemia ... Congestion β€’ Medications ... #Diagnosis #nephrology
Hyponatremia Diagnosis Algorithm
UOsm β‰₯ POsm - Vasopressin-Dependent
 β€’ UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... EABV) - Consider: Hypovolemia ... Primary polydipsia, Low ... solute intake, Renal ... #diagnosis #differential
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
can be high or low ... Present (Uosm β‰₯100): Hypovolemia ... #differential # ... diagnosis #table ... #sodium #nephrology
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Hypomagnesemia - Differential ... with secondary, hypocalcemia ... Hypomagnesemia - Acquired: Medications ... diagnosis #causes #nephrology ... #magnesium #low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Loses - Medications ... Hypercalcemia - Hypokalemia ... Hypomagnesemia #Differential ... #Diagnosis #Low ... #Magnesium #Table
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... consumption β€’ Low ... diagnosis #Algorithm #differential ... #low
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 β€’ Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... : β€’ Hypovolemia ... Syndrome, Chronic Renal ... #Differential # ... #sodium #low
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
Renal Replacement ... Pager Summary Indications ... derangements (hyperkalemia ... SLEDD (Sustained low ... RRT #managment #nephrology