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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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 ... #Urine #Microscopy ... #nephrology #interpretation
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Workup Algorithm ... dipstick, urine microscopy ... Abdominal compartment syndrome ... β€’ Cardio-renal syndrome ... #Workup #Algorithm
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary tract infections ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
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 ... #causes #algorithm
Cyclosporiasis - Diagnosis and Management Summary
Pathogen: 
 β€’ Cyclospora cayetanensis
 β€’ Foodborne, waterbone, and soil-transmitted.
 β€’
β€’ Unsporulated cysts ... transmission as zoonotic infection ... Established via stool microscopy ... Treatment: β€’ TMP-SMX-DS ... #microbiology #infectiousdiseases
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... EGPA) β€’ Renal: (AKI ... confirm DAH, r/o infection ... hematuria, RBC casts ... diagnosis #management #treatment
Guillain-BarrΓ© Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 β€’ Incidence: 1
Guillain-BarrΓ© Syndrome ... Incidence: 1 to 2 cases ... and cauda equina TREATMENT ... Guillain #Barre #Syndrome ... diagnosis #management #neurology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Without treatment ... soles in 50% of cases ... and nephrotic syndrome ... to asymptomatic infection ... have positive serology
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Pediculus humanus, AKA ... Several cases have ... Syndrome: 3d of ... Infectious Diseases ... recurrentis #BloodSmear #microscopy
Sporotrichosis - Sporothrix schenckii - Diagnosis and Management Summary
Sources: 
 β€’ Landscaping, Christmas tree farming, Rose
transmission from cats ... commercially β€’ Serology ... Sporotrichosis Syndromes ... schenckii #diagnosis #infectiousdiseases ... #treatment #management