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diagnosis differential management algorithm neurology renal clinical hematuria microscopy nephrotic urinary comparison hypokalemia hyponatremia kidney nephritic ophthalmology pharmacology physicalexam potassium
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... hematuria (RBC casts ... or dysmorphic RBCs ... in urine)? ... 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 ... pain hematuria syndrome ... 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 ... Nephritic #Comparison #Table ... #Nephrology #Diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Investigations: full blood ... osmolarity If cause ... screen, including blood ... Differential #Diagnosis #nephrology ... #causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... • Diarrhea A urine ... losses: • High Blood ... • Low/Normal Blood ... differential #potassium #nephrology
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... disease Red blood ... Glomerulonephritis White blood ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... Sediment (dysmorphic ... RBC, RBC casts, ... anti-phospholipid syndrome ... Glomerulonephritis #MPGN #nephrology
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
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
(Goodpasture's syndrome ... diagnosis #kidney #blood ... #urine #management ... #treatment #nephrology
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