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 ... Abdominal Compartment Syndrome ... , Medications Intra-Renal ... , Infection, Autoimmune
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... disease - Post-infectious ... prolonged prerenal AKI ... β€’ Medications
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 β€’ Hypovolemia
 β€’ Congestion
 β€’ Medications
 β€’
Acute Kidney Injury ... Congestion β€’ Medications ... Immune-mediated, Infection-mediated ... #Acute #Kidney ... Differential #Diagnosis #nephrology
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
steroids to treat infectious ... ventilation, ARDS acute ... respiratory distress syndrome ... Pharmacology #Management #Treatment ... #Indications
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 β€’ If low preload β†’
Acute Kidney Injury ... (AKI) - Management ... β€’ Hepatorenal syndrome ... Foley catheter β€’ Medications ... #Acute #Kidney
Etiologies of Peripheral Neuropathy
 β€’ Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 β€’ Medication-induced: ART, Antibiotics,
Hypothyroidism β€’ Medication-induced ... Chemotherapy β€’ Infectious ... Paraprotein-associated (POEMS syndrome ... Fabry's disease, Acute ... diagnosis #causes #neurology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
: Secondary to infections ... Prostate cancer β€’ Medications ... (Goodpasture's syndrome ... urine #management #treatment ... #nephrology
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 β€’ Decompensated cirrhosis
 β€’ Typically with existing
Hepatorenal Syndrome ... a precipitant: Medications ... abuse, Bacterial infection ... Mainstay of treatment ... in HRS-AKI is vasoactive
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Pediculus humanus, AKA ... Syndrome: 3d of ... The table below ... of blood smear, acute ... Infectious Diseases
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
Histoplasma Capsulatum Infections ... in HIV-AIDS Indications ... on ART (BIII) Indication ... with ARV (see Table ... IDSA #Prevention #Treatment