Dr. Gerald Diaz @GeraldMD
48.6M 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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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
IDSA Algorithm for Management of Acute Uncomplicated Cystitis
Approach to choosing an optimal antimicrobial agent for empirical
IDSA Algorithm for ... Management of Acute ... for empirical treatment ... of acute uncomplicated ... urinary tract infection
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... dipstick, urine microscopy ... β€’ Cardio-renal syndrome ... #AKI #Workup #Algorithm
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
Hypernatremia Management Algorithm
Acute vs Chronic
Calculate Losses
 β€’ Current water Deficit
 β€’ Ongoing Free water Losses
 β€’
Hypernatremia Management Algorithm ... Acute vs Chronic ... Hypernatremia #Management #Algorithm ... #treatment #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Abdominal Compartment Syndrome ... AIN: Medication, Infection ... SCVMCMed #AKI #Acute ... #causes #algorithm
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