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) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... #Injury #Differential ... #Diagnosis #nephrology
Acute Kidney Injury - Classification
Prerenal:
 β€’ Dehydration
 β€’ Heart failure (a.k.a. cardiorenal syndrome)
 β€’ Liver failure
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... vasculitis - TTP/HUS ... #diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... pressure β€’ TTP / HUS ... β€’ Cardio-renal syndrome ... #Injury #AKI #Workup ... #Diagnosis #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
causes of Acute Kidney ... Injury AKI - Differential ... inhibitors, hepatorenal syndrome ... Acute Tubular Injury ... #Diagnosis #nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
to infections (HPV ... (Goodpasture's syndrome ... Renal #Transplant #differential ... urine #management #treatment ... #nephrology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Medications, Spinal Cord Injury ... β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... Dehydration Shock Treatment
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
bronchograms (atelectasis has ... Respiratory Distress Syndrome ... submassive PE) POCUS ... #differential # ... #signs #Lung #POCUS
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... quantify renal injury ... coagulopathy) β€’ CBC w differential ... #differential # ... diagnosis #management #treatment
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Consider refeeding syndrome ... nutrients β€’ TPN for treatment ... deficiencies) Dumping Syndrome ... oxalate in the kidney ... gastroenterology #diagnosis #differential
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
two occasions 4 hrs ... evidence of organ injury ... doubling of Cr), pulmonary ... patients β€’ HELLP: Syndrome ... obstetrics #cardiology #differential