Dr. Gerald Diaz @GeraldMD
24.0M 13.9K 7.3K
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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Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
steroids to treat infectious ... ventilation, ARDS acute ... respiratory distress syndrome ... Corticosteroids #Adjuvant #InfectiousDiseases ... #Management #Treatment
3 Stages of Lyme Disease 
Early Lyme Disease 
 - Erythema migrans 
 - Constitutional symptoms
Gastrointestinal symptoms Acute ... Disseminated Infection ... Cutaneous - Neurologic ... Lyme Disease - Neurologic ... Disease #Stages #InfectiousDiseases
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 ... Urinary tract infection ... Classification #diagnosis #nephrology
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... in a variety of acute ... can be either infectious ... or non-infectious
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
casts are seen in acute ... Urinary tract infections ... Fatty - Nephrotic syndrome ... #Differential #Microscopy ... #Diagnosis #Nephrology
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
tubular cells - Acute ... casts - Renal infection ... protein indicating acute ... Urinary tract infection ... key #diagnosis #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Common causes of Acute ... inhibitors, hepatorenal syndrome ... Post-infectious ... β€’ Toxins β€’ Infection ... Differential #Diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... dipstick, urine microscopy ... Abdominal compartment syndrome ... β€’ Cardio-renal syndrome ... cardiac imaging #Acute
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
Most invasive infections ... septated hyphae, acute ... this morphology Treatment ... Diagnosis #Management #treatment ... #fungal #infectiousdiseases
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal Syndrome ... polyangiitis, Microscopic ... allopurinol), Infection ... DAH, rule out infection ... differential #diagnosis #nephrology