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diagnosis nephrology differential clinical algorithm microscopy management causes pathophysiology workup treatment crystals pocus syndrome hyponatremia renal ultrasound urology casts infectiousdiseases
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
: Red/Dark urine ... 1ml blood/liter urine ... more RBC/HPF spun urine ... examination of urine ... nephropathy - Thin basement
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
GBM = glomerular basement ... arbitrarily defined as urine ... because nephritic urine ... Hematuria may be
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis) Anti-basement ... , proteinuria, hematuria ... Anti-GBM antibody • Urine ... : UA, Urine protein ... microscopic or gross hematuria
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... Nephropathy, Thin basement ... Uncertain - Exercise haematuria ... Anticoagulation, Facititious hematuria ... #Hematuria #Differential
Causes of Hematuria - Glomerular vs Non-glomerular == Glomerular == - Glomerulonephritis - Thin basement membrane disease ==
Causes of Hematuria ... Glomerulonephritis - Thin basement ... amzn.to/2LmUODZ #Hematuria
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... Algorithm • Confirm hematuria ... WBCs, or urine ... → Urine culture ... uw_IMresidency #Hematuria
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient has hematuria ... have glomerular hematuria ... dysmorphic RBCs in urine
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal Urine ... Diagnosis Turbid White Urine ... * Green Urine: ... : • Hematuria, ... : • Hematuria,
Abnormally Colored Urine - Differential Diagnosis Framework Red: - Hematuria, Hemoglobinuria, Myoglobinuria - Beets, Rhubarb, Blackberries, Artificial
Abnormally Colored Urine ... Framework Red: - Hematuria ... Purple: - Purple urine ... AnnKumfer #Colored #Urine
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... blood cells on urine ... ) - Isolated Hematuria ... ) - Isolated Hematuria ... polyangiitis) - Hematuria
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