17 results
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... : - RBC casts ... Diagnosis #causes #urology ... #nephrology #renal ... #urine #blood
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... Algorithm • Confirm hematuria ... proteinuria, RBC casts ... for renal biopsy ... #blood #urine
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal/low ... cell casts - Absent ... Serum albumin - Low ... cell casts - Present ... slightly reduced Dr
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... disease Red blood ... tubulointerstitial nephritis, renal ... #Differential #Microscopy ... #Diagnosis #Nephrology
Blood Clot in the Bladder on POCUS

75yo F with dementia presents from skilled nursing facility with
Involved urology ... Dr. ... #Hematuria #Clot ... #ultrasound #sagittal ... #clinical #urology
Approach to Microscopic Hematuria 

Microscopic hematuria is often incidental but may be associated with urologic malignancy.
Hematuria Microscopic ... RBC's, cellular casts ... properly collected urine ... ultrasound ... #management #urology
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Urinary casts ... used with normal renal ... #UNa #casts #glucosuria ... #hematuria
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... : Hypovolemia, Low ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes (PRS) are ... : UA, Urine protein ... reveals increasing blood ... or gross hematuria ... , RBC casts, low
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Urinalysis/microscopy ... UOP/weights - Urine ... ATN - 45% - Pre-renal ... mostly ATN and pre-renal ... AcuteKidneyInjury #AKI #Nephrology