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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management diagnosis nephrology differential kidney pharmacology prevention idsa injury hivaids opportunistic algorithm causes comparison hepatorenal migraine prophylaxis renal adjuvant afib
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... , Medications Intra-Renal ... , Infection, Autoimmune
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... vasculitis - TTP/HUS ... prolonged prerenal AKI ... • Medications
Acute Kidney Injury (AKI) - Differential Diagnosis Framework PRE-Renal AKI: • Hypovolemia • Congestion • Medications •
Acute Kidney Injury ... Congestion • Medications ... Immune-mediated, Infection-mediated ... #Acute #Kidney ... Differential #Diagnosis #nephrology
Pharmacological Treatment of Hepatorenal Syndrome (HRS) Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... (HRS) Midodrine ... #Pharmacology #Medications ... #Treatment
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
Hepatorenal Syndrome - Diagnosis and Management Summary Who gets HRS? • Decompensated cirrhosis • Typically with existing
Hepatorenal Syndrome ... a precipitant: Medications ... abuse, Bacterial infection ... Mainstay of treatment ... in HRS-AKI is vasoactive
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... • Hepatorenal syndrome ... Foley catheter • Medications ... #Acute #Kidney
Etiologies of Peripheral Neuropathy • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism • Medication-induced: ART, Antibiotics,
Hypothyroidism • Medication-induced ... Chemotherapy • Infectious ... Paraprotein-associated (POEMS syndrome ... Fabry's disease, Acute ... diagnosis #causes #neurology
Acute ED Migraine Therapy and Preventative Therapy Algorithm: Acute migraine • IV NS IL bolus then infusion
Acute ED Migraine ... Therapy Algorithm: Acute ... 20 mg/min -> Neurology ... Preventative Medications ... management #algorithm #treatment
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
: Secondary to infections ... Prostate cancer • Medications ... (Goodpasture's syndrome ... urine #management #treatment ... #nephrology
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