15 results
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
sodium excretion ... performance for diagnosing ... acute tubular interstitial ... nephritis ... AcuteKidneyInjury #Nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... are seen in acute ... edgarvlermamd - Nephrology ... Differential #Microscopy #Diagnosis ... #Nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... mimics, repeat testing ... • Acute onset ... → Refer to Nephrology ... if cause not identified
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Polyneuropathy, Acute ... stroke, Acute spinal ... #diagnosis #table ... #neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Cerebral salt wasting ... UNa > 20: • Acute ... , UNa < 20 • Nephrotic ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... osmolarity If cause ... • Interstitial nephritis ... #nephrology #causes
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
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... disease 24-hour urine ... infections are common causes ... #workup #diagnosis ... #nephritic #nephrology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... test (with 24-h urine ... free cortisol excretion ... #Workup #table
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