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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18 results
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Diagnosis Baseline ... clinical context and signs ... β€’ Cardio-renal syndrome ... #Diagnosis #nephrology
Localizing Extraocular Movement Disorders
 β€’ CN Ill (Oculomotor) Nerve Palsy 
 β€’ CN IV (Trochlear) Nerve
Extraocular Movement Disorders ... One-and-a-half Syndrome ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
Alkalosis: Differential ... Diagnosis ECF ... postchronic hypercapnia (acute ... #Diagnosis #Causes ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... #Algorithm #nephrology ... #differential # ... diagnosis
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
tubular cells - Acute ... Red cell casts - Diagnostic ... crystals may indicate metabolic ... disorders or excreted ... #nephrology #casts
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Acute or chronic ... Compensation, Acute ... D-lactate (short bowel syndrome ... #Summary #Nephrology
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... β€’ Psychiatric disorders ... β€’ Toxic/metabolic ... #diagnosis #neurology ... #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 ... #Hypokalemia #diagnosis ... #Algorithm #differential ... #potassium #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Diagnosis Framework ... paraproteinemia, acute ... leukemia Measure Urine ... Workup #phosphate #nephrology
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 β€’ Tissue injury
 β€’ Hemolysis
 β€’ Rhabdomyolysis
 β€’
Diagnosis Increased ... β€’ Tumor lysis syndrome ... β€’ Metabolic acidosis ... glycosides β€’ High acute ... blockers - MCW Nephrology