438 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... or dysmorphic RBCs
Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Microscopy and Casts ... Squamous Epithelial Casts ... Monomorphic RBCs - Dysmorphic ... RBCs - Granular Casts ... Urine #Microscopy #Casts
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
glomerulopathies • Causes ... vasculitis - Dysmorphic ... disease Renal Causes ... Mass Ureteral Causes ... and SMA - Can cause
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
proteinuria, RBC casts ... , dysmorphic RBCs ... Nephrology if cause
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Urinalysis: presence of dysmorphic ... RBC’s, RBC/WBC casts
Causes of Hematuria - Differential Diagnosis Algorithm
Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... Calculi Glomerular (Dysmorphic ... RBCs and/or RBC casts ... Diagnosis #Algorithm #Causes
Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... significantly, it causes ... echogenic as in this case ... for underlying cause ... Jugular #IJ #Vein #POCUS
â–º
Renal tubular acidosis (RTA): refers to a group of conditions all of which cause the same
conditions all of which cause ... different types/causes ... RenalTubularAcidosis #Features #Table
Dyspnea - Differential Diagnosis and Presentation

#Diagnosis #Differential #Table #Dyspnea #SOB #Causes
#Differential #Table ... #Dyspnea #SOB #Causes
Causes of Cough and Hemoptysis
Acute Inflammation 
 - Laryngitis 
 - Tracheobronchitis 
 - Mycoplasma and
Causes of Cough ... , Chemicals, Gases ... #Differential #Causes ... #Table