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Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... mimics, repeat testing ... • Acute onset ... proteinuria, RBC casts ... if cause not identified
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... to Acute Interstitial ... sterile pyuria, WBC casts ... proteinuria, granular casts ... #nephrology #diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Differential Diagnosis Algorithm ... present on repeat testing ... sediment - WBC/RBC casts ... #Proteinuria #Nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Differential Diagnosis Algorithm ... Epithelial cell casts ... #KidneyInjury #Nephrology ... #Causes
Ruptured Ovarian Cyst on Pelvic Ultrasound 22 year old female w/ acute onset RLQ pain & TTP
old female w/ acute ... Given the acute ... Urine pregnancy test ... though (just in case ... gynecology #obgyn #POCUS
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 Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Cerebral salt wasting ... UNa > 20: • Acute ... #Causes #nephrology
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... Differential Diagnosis Algorithm ... Recovery from Acute ... #Polyuria #Nephrology ... #Causes
Causes of Tremors - Movement Disorders - Differential Diagnosis Algorithm Action Tremor - Occurs During Voluntary Muscle
Causes of Tremors ... Differential Diagnosis Algorithm ... multiple sclerosis) Resting ... Tremor - Occurs at Rest ... #Causes
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinis", determined heating ... Clarity Dipstick test ... • Urinary casts ... Acute Kidney Injury ... leucocyte-esterase #urine #UNa #casts
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
hepatitis, or acute ... • Caused by splanchnic ... Bland urine (no casts ... Classification: ... Syndrome #Hepatology #Nephrology
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