15 results
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... glomerular bleeding (proteinuria ... , RBC casts, dysmorphic ... → Refer to Nephrology ... cause not identified
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Differential Diagnosis Algorithm ... sediment - WBC/RBC casts ... #Nephrology #Differential ... #Causes
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
Nephritic syndrome—due ... RBC casts in urine ... Proteinuria often ... but in severe cases ... #Nephrology #Diagnosis
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria and/or proteinuria ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
least 3 months Pre-Renal ... hydronephrosis on U/S) • Reflux ... Glomerular (Proteinuria ... Sterile pyuria, WBC casts ... KidneyDisease #Nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... arbitrarily defined as urine ... cell/white cell casts ... because nephritic urine ... nephrotic #syndrome #nephrology
Lupus Nephritis - Diagnostic approach to kidney disease associated with systemic lupus erythematosus (SLE)
SLE patient develops
• Nephritic urine ... dysmorphic RBCs, RBC casts ... , WBC casts) especially ... Nephritis #diagnosis #algorithm ... #sle #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
disease 24-hour urine ... Serum or urine for ... C3, C4 - Test for ... common causes of ... nephrotic #nephritic #nephrology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Test if patient ... • Vestibulo-ocular ... neudrawlogy and Dr ... Casey Albin MD @ ... #PhysicalExam #neurology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
disease 1) 24-hour urine ... . 5) C3, C4 - Test ... Serum or urine for ... common causes of ... initial #testing #nephrology