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diagnosis hyponatremia hypokalemia management treatment potassium sodium workup aki alkalosis metabolic polyuria acute hematuria hyperkalemia microscopy nephrotic syndrome blood chloride
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... of mb granular casts ... appreciated at low ... Granular #MuddyBrown #Casts ... #Clinical #Nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential ... Diagnosis Algorithm ... sediment - WBC/RBC casts ... #Proteinuria #Nephrology ... #Causes
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... Algorithm Instead ... sodium low, uric ... and uric acid low ... #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Urine Cl-: Vomiting ... (late) • High Urine ... #Nephrology #Causes
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... proteinuria, RBC casts ... → Refer to Nephrology ... if cause not identified ... Hematuria #Diagnosis #Algorithm
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... : Hypovolemia, Low ... PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
- Differential ... Diagnosis Algorithm ... mannitol, glucosuria Low ... Hypernatremia #Nephrology ... #Causes
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
pressure - Normal/low ... Red blood cell casts ... Serum albumin - Low ... Red blood cell casts ... Nephritic #Comparison #Table
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria (RBC casts ... dysmorphic RBCs in urine ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
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