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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Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal Syndrome ... edgarvlermamd - Nephrology ... #HepatoRenal #Syndrome ... #Nephrology #Management
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... Diagnosis Algorithm Syndrome ... β€’ Drugs β€’ Pulmonary ... #Hyponatremia #Nephrology ... #Differential #
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Syndrome Definition ... symptomatology Differential ... #differential # ... diagnosis #nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Redistribution - 1Β° HPT ... , TIO, Fanconi Syndrome ... diagnosis #Algorithm #differential ... #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 β€’ Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... within first 2-6 hrs ... #Treatment #Management ... #Neurology
Hepatorenal Syndrome Treatment
Volume expansion: 
 β€’ Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... Treatment Volume ... #Hepatorenal #Syndrome ... #Treatment #management ... #HRS #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Algorithm and Differential ... Abdominal compartment syndrome ... pressure β€’ TTP / HUS ... β€’ Cardio-renal syndrome ... #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Injury (AKI) - Differential ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... Kidney #Injury #Differential ... #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
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... Stress, Nausea, Pulmonary ... #Hyponatremia #Differential ... Algorithm #diagnosis #nephrology