18 results
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 ... Hematuria #Diagnosis #Algorithm
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... dysmorphic RBCs in urine ... Syndrome #Comparison #Algorithm
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... Proteinuria (Negative urine ... Proteinuria (Positive urine ... sediment - WBC/RBC casts ... Differential #Diagnosis #Algorithm
Causes of Hematuria - Differential Diagnosis Algorithm
Red blood cells on urine microscopy. Must exclude false positives
Differential Diagnosis Algorithm ... blood cells on urine ... Must exclude false ... RBCs and/or RBC casts ... Differential #Diagnosis #Algorithm
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 ... because nephritic urine ... #Algorithm #differential
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
endoscopy • Able ... Enterography • Able ... Noninvasive • False ... bowel duplication cysts ... gastroenterology #table
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
features: Frequent false-negative ... in up to 30% of cases ... Marantic #diagnosis #table
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... differential #diagnosis #table
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Cast formation: ... hour with goal urine ... per day until stable
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Weakness - Dark urine ... Cast formation: ... hour with goal urine ... per day until stable