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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Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... microscopy / urinary ... Abdominal compartment syndrome ... β€’ Cardio-renal syndrome ... #AKI #Workup #Algorithm
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of nephrotic sydnrome ... can be either infectious ... or non-infectious ... #Microscopy #nephrology
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 β€’ Shed in the urine, feces, saliva of
β€’ Shed in the urine ... common route of infection ... Cardiopulmonary Syndrome ... β€’ Autopsy PCR Treatment ... #microbiology #infectiousdiseases
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Urinary tract infections ... Fatty - Nephrotic syndrome ... #Differential #Microscopy ... #Diagnosis #Nephrology
Guillain-BarrΓ© Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 β€’ Incidence: 1
Guillain-BarrΓ© Syndrome ... to a preceding infection ... and cauda equina TREATMENT ... #Syndrome #diagnosis ... #management #neurology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
: Secondary to infections ... (Goodpasture's syndrome ... kidney #blood #urine ... #management #treatment ... #nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... Anti-GBM antibody β€’ Urine ... : UA, Urine protein ... confirm DAH, r/o infection ... diagnosis #management #treatment
Strongyloidiasis Treatment
Asymptomatic Β± eosinophilia (Very low risk):
 β€’ Diagnostic: Serology, Stool Ova and parasites (O&P) examination
Strongyloidiasis Treatment ... hyperinfection syndrome ... examination for larvae, Urine ... Strongyloidiasis #Treatment ... strongyloides #parastie #infectiousdiseases