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
Kidney Injury (AKI ... Abdominal Compartment Syndrome ... , Medications Intra-Renal ... , Infection, Autoimmune ... Medicine @SCVMCMed #AKI
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 β€’ Hypovolemia
 β€’ Congestion
 β€’ Medications
 β€’
Framework PRE-Renal ... Congestion β€’ Medications ... Shunting INTRA-Renal ... Immune-mediated, Infection-mediated ... Differential #Diagnosis #nephrology
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
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... pressure incr renal ... #Pharmacology #Medications ... #Treatment
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
Continuous Renal Replacement Therapy (CRRT) - Overview
Types of CRRT
 β€’ CVVHD - Continuous Veno-Venous hemodialysis -
Emergent dialysis indications ... CRRT Specific Indications ... : β€’ AKI or ESRD ... Vein - ↑ risk of infection ... CRRT #Overview #Indications
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
IDSA Recommendations for Preventing and Treating Disseminated Mycobacterium Avium Complex in HIV-AIDS
Preventing 1st Episode of Disseminated
Prophylaxis): Indications ... please refer to Table ... ) Indication for ... IDSA #Prevention #Treatment ... opportunistic #infections
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
IDSA - Approach to Treating a Patient With Diabetic Foot Osteomyelitis
When to consider a trial of
of nonsurgical treatment ... 48–72 h if on treatment ... Persistent sepsis syndrome ... eg, presence of renal ... #Resection #Indications