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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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Syndrome Step ... /nephritic syndromes ... hematuria (RBC casts ... #Algorithm #Nephrology ... #Diagnosis
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Syndrome and Nephritic ... Syndrome == Nephrotic ... #Syndrome #Nephritic ... #Comparison #Table ... #Nephrology #Diagnosis
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
syndrome as a ... cause for exudative ... Although nonhepatic causes ... obstruction, nephrotic ... #workup #algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... Cirrhosis β€’ Nephrotic ... #Hyponatremia #Nephrology ... #Algorithm #Causes
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Algorithm ADH ... liver failure, nephrotic ... syndrome ... #Algorithm #causes ... #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
and Workup Step ... liver failure β€’ nephrotic ... syndrome β€’ renal ... #Workup #Algorithm ... #Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... Diagnosis Baseline ... β€’ Interstitial nephritis ... #Diagnosis #nephrology ... #causes
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
Kidney Injury - Classification ... a.k.a. cardiorenal syndrome ... tubular necrosis (causes ... Acute interstitial nephritis ... #diagnosis #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... CHF, cirrhosis, nephrotic ... syndrome) Euvolemic ... #Algorithm #diagnosis ... #nephrology #sodium
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Hungry bones syndrome ... #Differential #Diagnosis ... Low #Magnesium #Table ... #Classification ... #Causes #Workup