Dr. Gerald Diaz @GeraldMD
48.7M 14.2K 7.5K
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 Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... and Differential Diagnosis ... microscopy / urinary ... osmolarity If cause ... #nephrology #causes
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of nephrotic sydnrome ... #Urine #Microscopy ... #nephrology #interpretation ... #diagnosis
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... mononeuritis multiplex WORKUP ... Anti-GBM antibody β€’ Urine ... : UA, Urine protein ... Goodpasture's cause
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... #clinical #video ... ophthalmology #physicalexam ... #neurology #Anisocoria
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Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... 3 questions to work ... Measure urine osmolality ... demyelination syndrome ... Treatment #management #nephrology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
the follow up video ... The most common causes ... the hospital, diagnosed ... #PhysicalExam # ... clinical #video
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Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
acetate to help with ocular ... other potential causes ... HZO #clinical #video ... ophthalmology #physicalexam ... #neurology
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The Neurological Evaluation of a Comatose Patient

Definition:
 β€’ Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... β€’ Locked-in syndrome ... β€’ Vestibulo-ocular ... caseyalbin #PhysicalExam ... #diagnosis