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 - 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 ... Alpha agonist incr blood ... #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 ... diagnosis #kidney #blood ... urine #management #treatment
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
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
or induced by treatment ... Bennett & Bloom ... #clinical #video ... ophthalmology #physicalexam ... #neurology #Anisocoria
β–Ί
IDSA Recommendations for Preventing and Treating Disseminated Mycobacterium Avium Complex in HIV-AIDS
Preventing 1st Episode of Disseminated
Prophylaxis): Indications ... mycobacterial blood ... please refer to Table ... IDSA #Prevention #Treatment ... opportunistic #infections
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Pediculus humanus, AKA ... Syndrome: 3d of ... The table below ... initiation of treatment ... Infectious Diseases
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
receive proper treatment ... Bennett & Bloom ... HZO #clinical #video ... ophthalmology #physicalexam ... #neurology
β–Ί
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