74 results
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... mimics, repeat testing ... proteinuria, RBC casts ... #Algorithm #Workup
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Approach to Acute Kidney ... PROBLEM ~80% of AKI cases ... are caused by prerenal ... for WBCs, RBCs, casts ... #diagnosis #nephrology
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... with an AVS with nystagmus ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Genetic Testing ... mutations in SLC12A3 Dr ... #Diagnosis #Workup ... #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
Nephritic syndromedue ... RBC casts in urine ... but in severe cases ... #Proteinuria #Nephrology ... #Diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... and Differential Diagnosis ... osmolarity If cause ... #nephrology #causes
Parinaud's Syndrome
What?
 - Impaired upgaze
 - Light-near dissociation
 - Convergence retraction nystagmus
 - Eyelid retraction (Collier's
Convergence retraction nystagmus ... Hydrocephalus → "setting ... disease (stroke) Dr ... #diagnosis #pineal ... #neurology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... inflammation or chronic kidney ... biopsy only if serology ... Non-invasive testing ... Gastrointestinal #Evaluation #workup
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
acute and chronic kidney ... suggestive of nephrotic sydnrome ... non-infectious) - Dr ... Urine #Microscopy #nephrology ... interpretation #diagnosis
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... broad - Advanced kidney ... 34t5DgJ #Urinary #Casts