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diagnosis management algorithm differential hematuria nephritic nephrotic renal syndrome urology alcohol checklist diuresis diuretics examination excretion hematology hyperkalemia ingestion k
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 ... in urine)? ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
, dysmorphic RBCs ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified ... Workup #urology #blood
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... urine can induce ... vasculitis - Dysmorphic ... #urology #nephrology ... blood
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
cell casts - Absent ... cell casts - Present ... edgarvlermamd - Nephrology ... Syndrome #Nephritic #Comparison ... #Table #Nephrology
Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Sediment Examination Instructions ... presence of protein, blood ... up by cells or casts ... for identifying dysmorphic ... #Examination #Instructions
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Weakness - Dark urine ... UA positive for blood ... hour with goal urine ... #treatment #nephrology
TRALI vs TACO - Transfusion Reactions TRALI: • Epidemiology: 0.1% of transfused patientsl • Risk factors: Critical
of high parity blood ... without other cause ... : 33% • Treatment ... hematology #diagnosis #comparison ... #table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... lysis) ± Urine ... only if no clear cause ... Elimination (see Table ... #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Kidney stones caused ... Prevention of blood ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Medications #Table
Toxic Alcohol Ingestion: Clinical Features, Diagnosis, and Management Methanol intoxication: • Accidental or intentional ingestion of adulterated
methanol; rare cases ... oxalate crystals in urine ... diagnosis #toxicology #comparison ... #table #management ... #treatment
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