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diagnosis differential discoloration algorithm causes color colored abnormal altered blood hematuria hyperkalemia k management polyuria potassium proteinuria treatment urinalysis urology
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
disease, Pseudomonas UTI ... Bag Syndrome - UTI ... Serratia marcescens UTI ... Citrobacter sedlaki UTI ... Proteus mirabilis UTI
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
• Symptoms of UTI ... , urine WBCs, or ... and treat for UTI ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology
Abnormally Colored Urine - Differential Diagnosis Framework Red: - Hematuria, Hemoglobinuria, Myoglobinuria - Beets, Rhubarb, Blackberries, Artificial
Abnormally Colored Urine ... Hypercalcemia, Pseudomonas UTI ... Purple: - Purple urine ... patients with UTI ... Differential #Diagnosis #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
• Fever • UTI ... Proteinuria (Negative urine ... Proteinuria (Positive urine ... Protein deposition (eg ... #Proteinuria #Nephrology
Urine Color - Differential Diagnosis Red Urine: • Medical conditions: bleeding, porphyria, factitious disorder • Meds: rifampin,
Urine Color - Differential ... Diagnosis Red Urine ... spinach) Orange Urine ... Medical conditions: UTI ... discoloration #nephrology
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
SGLT2 inhibitors (e.g ... Polyuria Mimics (↑ urine ... frequency without ↑ urine ... volume): • UTI ... Diagnosis #Causes #nephrology
Possible Causes of Altered Urine Color Red Foods: beets, blackberries, rhubarb
Causes of Altered Urine ... Purple (Purple Urine ... Catheter + Alkaline UTI ... #Altered #Urine ... Differential #Diagnosis #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... Peak T, flat P, ST ... lysis) ± Urine ... Cortisol+ACTH stim ... Treatment #potassium #nephrology
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