Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
of Hepatorenal ... Syndrome (HRS) ... pressure incr renal ... Octreotide - Long-acting ... #HepatoRenal #Syndrome
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... ) - Differential ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... #Diagnosis #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... calcineurin inhibitors, hepatorenal ... syndrome) • Vascular ... #Diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Diagnosis Baseline ... Abdominal compartment syndrome ... pressure • TTP / HUS ... syndrome: troponin ... #Diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm ... • Drugs • Pulmonary ... GI losses • Renal ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Renal Syndromes ... : (AKI, proteinuria ... sparing of the lung ... #Renal #Syndromes ... #treatment
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Respiratory Distress Syndrome ... submassive PE) POCUS ... #differential # ... diagnosis #signs ... #Lung #POCUS #ultrasound
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
(Goodpasture's syndrome ... #Transplant #differential ... #diagnosis #kidney ... urine #management #treatment ... #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Diagnosis: Causes ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... or restrictive lung ... #Summary #Nephrology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... kidney and forms renal ... gastroenterology #diagnosis ... #differential