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 nephrology diagnosis acute idsa injury pharmacology differential hivaids opportunistic prevention clinical hepatorenal renal algorithm aviumcomplex blood bloodsmear borrelia capsulatum
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 ... vasculitis - TTP/HUS ... • Medications ... #Acute #Kidney
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
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
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
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
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
Pitting Edema on Physical Exam Edema occurs when fluid that accumulates in tissues leads to swelling. When
once the pressure has ... heart failure, kidney ... vein thrombosis, infections ... angioedema, certain medications ... Pitting #Edema #PhysicalExam
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 POTS (Postural Orthostatic Tachycardia Syndrome) - Management Activity: • Exercise training • Avoidance of deconditioning Volume Expansion: •
Orthostatic Tachycardia Syndrome ... + excretion by kidneys ... Autonomic Medications ... #Tachycardia #Syndrome ... #Management #treatment
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