13 results
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... sediment - WBC/ ... RBC casts ... sediment ... #Nephrology #Differential
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... to Acute Interstitial ... , mild tubular proteinuria ... /RTE; blend sediment ... #nephrology #diagnosis
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
on Urine Microscopy ... “urine poker quads ... #Urine #Microscopy ... #Clinical #Nephrology ... #Sediment
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... repeat testing • Acute ... glomerular bleeding (proteinuria ... , RBC casts, dysmorphic ... → Refer to Nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria and/or proteinuria ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Causes of Hematuria - Differential Diagnosis Algorithm
Red blood cells on urine microscopy. Must exclude false positives
Differential Diagnosis Algorithm ... blood cells on urine ... RBCs and/or RBC casts ... nephrotic range) proteinuria ... Differential #Diagnosis #Algorithm
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
proteins, documenting proteinuria ... sediment and color ... • Urinary casts ... Acute Kidney Injury ... Acute Tubular Necrosis
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... arbitrarily defined as urine ... cell/white cell casts ... sediment may or ... nephrotic #syndrome #nephrology
Lupus Nephritis - Diagnostic approach to kidney disease associated with systemic lupus erythematosus (SLE)
SLE patient develops
• Nephritic urine ... sediment (dysmorphic ... RBCs, RBC casts ... Nephritis #diagnosis #algorithm ... #sle #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
 • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... Sediment (dysmorphic ... RBC, RBC casts, ... +/- proteinuria ... Glomerulonephritis #MPGN #nephrology