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differential management hyponatremia microscopy sodium algorithm blood diuresis diuretics excretion hematuria hepatology hepatorenal hrs hyperkalemia hypotonic interpretation k latent medications
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... suggestive of nephrotic ... #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 ... are seen in acute ... 34t5DgJ #Urinary #Casts
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... mimics, repeat testing ... • Acute onset ... proteinuria, RBC casts ... if cause not identified
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... vast majority of cases ... Measure urine osmolality ... up to 3x in the setting ... #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... failure, Cirrhosis, Nephrotic ... #differential #diagnosis ... #table #sodium ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Management Summary Causes ... Weakness - Dark urine ... Cast formation: ... #treatment #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... Kidney stones caused ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Medications #Table
The Stages of Syphilis Primary Syphilis - The chancre lesion is the hallmark of primary syphilis.
Without treatment ... soles in 50% of cases ... manifestations including acute ... hepatitis and nephrotic ... with positive testing
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
tourniquet / IVF line draw ... lysis) ± Urine ... only if no clear cause ... Elimination (see Table ... #potassium #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
hepatitis, or acute ... (no casts, protein ... Treatment Overview ... essential in all cases ... Syndrome #Hepatology #Nephrology
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