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 acute idsa pharmacology hivaids opportunistic prevention renal algorithm hepatorenal aviumcomplex blood bloodsmear borrelia capsulatum causes
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
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... vasculitis - TTP/HUS ... • 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 #Injury ... 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
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 ... → No specific treatment ... Foley catheter • Medications
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Failure, Toxins/Medications ... , Spinal Cord Injury ... Abdominal compartment syndrome ... Dehydration Shock Treatment ... UOP > 0.5 cc/kg/hr
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
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 ... quantify renal injury ... confirm DAH, r/o infection ... diagnosis #management #treatment
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