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 ... (AKI) - Differential ... Distributive Shock, HRS ... Abdominal Compartment Syndrome ... 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 ... syndrome: troponin ... #Kidney #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 ... #Transplant #differential ... urine #management #treatment ... #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 β€’ Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... inhibitors, hepatorenal syndrome ... thromboembolism, renal ... #Diagnosis #nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework
Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
t-PA, heparin Acute ... Rhabdomyolysis, Tumor lysis syndrome ... acidosis, DKA Kidney ... CKD Increased Renal ... Workup #phosphate #nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
casts are seen in acute ... broad - Advanced kidney ... tubulointerstitial nephritis, renal ... Fatty - Nephrotic syndrome ... Urinary #Casts #Differential
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acute or chronic ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... MDaniyalHashmi1 #AcidBase ... Diagnosis #Summary #Nephrology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
the severity Acute ... Respiratory Distress Syndrome ... submassive PE) POCUS ... #differential # ... #signs #Lung #POCUS
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
Metabolic Alkalosis: Differential ... postchronic hypercapnia (acute ... diuretics after renal ... diuretic effect has ... Diagnosis #Causes #nephrology
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 ... oxalate in the kidney ... and forms renal ... gastroenterology #diagnosis #differential