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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12 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... Urine chloride is ... #Algorithm #nephrology ... #differential #
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... β€’ Diarrhea A urine ... Pressure: - Metabolic ... diagnosis #Algorithm #differential ... #potassium #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
Causes of Metabolic ... Alkalosis: Differential ... volume contracted: urine ... #Alkalosis #Differential ... Diagnosis #Causes #nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
(Goodpasture's syndrome ... Renal #Transplant #differential ... kidney #blood #urine ... #management #treatment ... #nephrology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
The differential ... history, exam, and urine ... DI; high dilute urine ... , Dehydration: neurologic ... #management #nephrology
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 β€’ Adjustable Gastric Banding
Prevention and Treatment ... Switch (BPD-DS) Management ... Intestinal Failure Metabolic ... Surgery: β€’ Dumping Syndrome ... Surgery #Diagnosis #Differential
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... dissipation of metabolic ... Phaeochromocytoma Neurologic ... #Hyperthermia #Differential ... Checklist #Diagnosis #Management
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... Measure urine osmolality ... demyelination syndrome ... #Hyponatremia #Differential ... #management #nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Anti-GBM antibody β€’ Urine ... : UA, Urine protein ... #differential # ... diagnosis #management ... #treatment
Methotrexate Renal Toxicity 
Prevention:
 β€’ Alkalinize the urine, keep urine ph >7
 β€’ Start pre-treatment 12
Alkalinize the urine ... , keep urine ph ... fluids till you see metabolic ... Renal #Toxicity #management ... #treatment #nephrology