Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential algorithm causes clinical workup aki physicalexam kidney ophthalmology table hyponatremia management casts comparison discoloration hypokalemia hypophosphatemia injury interpretation metabolic
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... microscopy / urinary ... • Cardio-renal syndrome ... #nephrology #causes
Sulfa Crystals on Urine Microscopy Sulfa Crystal! Drug-induced crystalluria is a cause of acute renal failure
Sulfa Crystals on Urine ... Microscopy Sulfa ... is a cause of acute ... #Microscopy #crystalluria ... #clinical #nephrology
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 Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings. #Diagnosis #Nephrology #Urine #Microscopy
corresponding urine ... #Diagnosis #Nephrology ... #Urine #Microscopy
Urine Microscopy Instructions 1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy ... 1) Spin fresh urine ... one drop on a microscope ... iMedEducation #Urine ... #nephrology #diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... repeat testing • Acute ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... uw_IMresidency #Hematuria #Diagnosis
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... in a variety of acute ... #Microscopy #nephrology ... interpretation #diagnosis
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... tubular cells - Acute ... Red cell casts - Diagnostic ... #key #diagnosis ... #nephrology #casts
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... casts are seen in acute ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology ... #Diagnosis #Nephrology
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology ... #Diagnosis
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome • Urine Chloride • Urine Ca/Cr ratio Dr. Krithika
from Bartter syndrome ... • Urine Chloride ... • Urine Ca/Cr ... Bartter #Algorithm #nephrology ... #hypokalemia #diagnosis
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