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 Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Diagnosis Baseline ... , urine microscopy ... Abdominal compartment syndrome ... syndrome: troponin ... #Diagnosis #nephrology
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... Red cell casts - Diagnostic ... #key #diagnosis ... #nephrology #casts
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
- Differential ... Diagnosis Algorithm ... Tubular #Acidosis #Differential ... #Diagnosis #Algorithm ... #nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... tubulointerstitial nephritis, renal ... Fatty - Nephrotic syndrome ... Urinary #Casts #Differential ... #Microscopy #Diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Diagnosis for Pulmonary ... Renal Syndromes ... polyangiitis, Microscopic ... #Syndrome #differential ... #diagnosis #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses ... loss (Diarrhea) Renal ... potassium #low #nephrology
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 β€’ Primary
Polyuria - Differential ... Diagnosis Algorithm ... Dl β€’ Chronic Renal ... #Diagnosis #Algorithm ... #causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... Diagnosis Algorithm ... GI losses β€’ Renal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 2) Urine ... High Uric Acid β†’ renal ... #nephrology #sodium
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
FENa) could help differentiate ... between pre-renal ... and intrinsic renal ... performance for diagnosing ... AcuteKidneyInjury #Nephrology