Dr. Gerald Diaz @GeraldMD
48.5M 14.2K 7.5K
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 - 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 ... Urinary tract infection
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... dipstick, urine microscopy ... Abdominal compartment syndrome ... β€’ Cardio-renal syndrome ... Kidney #Injury #AKI
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
steroids to treat infectious ... respiratory distress syndrome ... Corticosteroids #Adjuvant #InfectiousDiseases ... #Infections #Pharmacology ... #Management #Treatment
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... inhibitors, hepatorenal syndrome ... Post-infectious ... β€’ Toxins β€’ Infection ... Koratala @NephroP #AKI
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... Abdominal Compartment Syndrome ... AIN: Medication, Infection ... Medicine @SCVMCMed #AKI ... Differential #Diagnosis #nephrology
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
Infectious Causes of Adrenal Insufficiency
Anatomical distribution of vessels to the adrenal makes the gland prone to
Infectious Causes ... primary adrenal infection ... Waterhouse-Friderichsen syndrome ... Insufficiency #AI ... endocrinology #infectiousdiseases
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 β€’ Tissue injury
 β€’ Hemolysis
 β€’ Rhabdomyolysis
 β€’
β€’ Tumor lysis syndrome ... transfusion β€’ Error of injection ... Elimination: β€’ AKI ... blockers - MCW Nephrology
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 β€’ Shed in the urine, feces, saliva of
common route of infection ... Cardiopulmonary Syndrome ... β€’ Autopsy PCR Treatment ... diagnosis #management #treatment ... #microbiology #infectiousdiseases
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... can be either infectious ... or non-infectious ... #Casts #Urine #Microscopy ... #nephrology #interpretation