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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Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... - Differential ... Kumfer @AnnKumfer #Pulmonary ... #Renal #Syndromes ... #Mimics #Differential
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Renal Syndromes ... high resolution chest ... #Renal #Syndrome ... #differential #
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Renal Syndromes ... #Renal #Syndromes ... #differential # ... diagnosis #management #treatment
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Pulmonary vasculature ... Hepatopulmonary #Syndrome ... #pulmonary #diagnosis
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... pressure incr renal ... #HepatoRenal #Syndrome ... #Medications #Treatment
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Differential/diagnosis ... Pulmonary embolism ... RJonesSonoEM #Pulmonary
β–Ί
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Injury (AKI) - Differential ... Framework Pre-Renal ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... Kidney #Injury #Differential
Differential diagnosis of schistocytes / fragmentation hemolysis:
 β€’ Thrombotic microangiopathies (TMA)
    - TTP
Differential diagnosis ... hemolytic-uremic syndrome ... β€’ Scleroderma renal ... anemia" β€’ HELLP syndrome ... #schistocytes #differential
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern - Chest ... thyroid, melanoma, renal ... , Sarcoidosis, HSP ... Miliary #Pattern #Chest ... #diagnosis #pulmonary
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
Hematuria in Post-Renal ... to infections (HPV ... (Goodpasture's syndrome ... #Transplant #differential ... urine #management #treatment