36 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
(RBC casts or dysmorphic ... RBCs in urine)? ... Syndrome #Comparison #Algorithm
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... Urinalysis: presence of dysmorphic ... prostatic) #Diagnosis #EM ... #Differential #Algorithm
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... WBCs, or urine ... → Urine culture ... proteinuria, RBC casts, dysmorphic ... Hematuria #Diagnosis #Algorithm
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... uric acid: - Urine ... sodium low, uric ... and uric acid low ... #Differential #Algorithm
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... nephrology #sodium #low
#Diagnosis #EM #IM #PERC #Low #Risk #Pulmonary #Embolism #PulmonaryEmbolism #Algorithm #RebelEM
#Diagnosis #EM # ... IM #PERC #Low #Risk ... PulmonaryEmbolism #Algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... Differential #Diagnosis #Algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... Differential #Diagnosis #Algorithm
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... EABV, Low Plasma ... • Distal RTA Low-normal ... Plasma HCO3- • Low ... #differential #algorithm
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
 • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... Sediment (dysmorphic ... immune deposits on EM