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 idsa pharmacology hivaids kidney opportunistic prevention renal acute algorithm clinical hepatorenal injury zoster apex aviumcomplex bloodsmear
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... , Medications Intra-Renal ... , Infection, Autoimmune
Pharmacological Treatment of Hepatorenal Syndrome (HRS) Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... (HRS) Midodrine ... Alpha agonist incr blood ... #Pharmacology #Medications ... #Treatment
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
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
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 ... diagnosis #kidney #blood ... urine #management #treatment
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Failure, Toxins/Medications ... Abdominal compartment syndrome ... • Hypovolemic: Blood ... Dehydration Shock Treatment ... UOP > 0.5 cc/kg/hr
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
Emergent dialysis indications ... CRRT Specific Indications ... : • AKI or ESRD ... Vein - ↑ risk of infection ... CRRT #Overview #Indications
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal Syndromes ... EGPA) • Renal: (AKI ... confirm DAH, r/o infection ... reveals increasing blood ... diagnosis #management #treatment
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... Pediculus humanus, AKA ... Syndrome: 3d of ... The table below ... Infectious Diseases
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
receive proper treatment ... is no mainstay treatment ... Bennett & Bloom ... ophthalmology #physicalexam ... #neurology
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