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diagnosis differential algorithm workup nephrotic glomerulonephritis hematuria management nephritis rheumatology syndrome testing urine urology alkalosis biopsy chloride chronic ckd contraindications
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
bleeding (proteinuria ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... #blood #urine
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
urine • 1ml blood ... of Glomerular Bleeding ... Brown urine - Proteinuria ... #urology #nephrology ... blood
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Drugs Glomerular ... albuminuria) - Active ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... Atherosclerosis Glomerular ... (Proteinuria) ... KidneyDisease #Nephrology ... Diagnosis #Algorithm #Causes
Management of Lupus Nephritis Lupus nephritis (LN) in 10 to 40% of SLE Hallmark = proteinuria 20.5 g/g
SLE Hallmark = proteinuria ... or 0.5 g/day → renal ... therapy Goal: proteinuria ... Focal LN (<50% of glomeruli ... #rheumatology #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
Mesangiocapillary GN • Active ... , +/- proteinuria ... formation along glomerular ... Glomerulonephritis #MPGN #nephrology ... #diagnosis #renal
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
presenting with overt glomerular ... proteinuria. ... content [85].2>5 red blood ... Nephrocalcinosis causes ... #syndrome #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... disorders that activate ... infections are common causes ... of glomerular disease ... nephrotic #nephritic #nephrology
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
- Diarrhea • RENAL ... gas transport, renal ... inversely related to glomerular ... rate by tubulo-glomerular ... Pathophysiology #Nephrology
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... disorders that activate ... infections are common causes ... #glomerular #disease ... initial #testing #nephrology
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