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diagnosis differential hyponatremia hypokalemia workup potassium nephrotic sodium aki alkalosis metabolic polyuria renal acute hematuria hyperkalemia management microscopy nephritic proteinuria
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... • Evidence of glomerular ... → Refer to Nephrology ... if cause not identified ... Hematuria #Diagnosis #Algorithm
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Differential Diagnosis Algorithm ... • Drugs Glomerular ... #Proteinuria #Nephrology ... Differential #Diagnosis #Algorithm
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
Glomerular Diseases ... RBC casts in urine ... diabetes)) #Glomerular ... Nephrotic #Syndromes #Classification ... #Proteinuria #Nephrology
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient have glomerular ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
or dipstick) Glomerular ... of Glomerular Bleeding ... hematuria • Signs of glomerular ... Suggestive of glomerular ... #urology #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... sodium low, uric ... and uric acid low ... #Differential #Algorithm ... #Diagnosis #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Urine Cl-: Vomiting ... (late) • High Urine ... Differential #Diagnosis #Algorithm ... #Nephrology #Causes
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... hypotension) Decreased Glomerular ... IntercellularShift #Nephrology ... #Causes
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... red - cells Non-glomerular ... also be seen if urine ... Diagnostic of glomerular ... key #diagnosis #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... mannitol, glucosuria Low ... Urine Osmolality ... Hypernatremia #Nephrology ... #Causes
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