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diagnosis differential algorithm glomerulonephritis renal workup blood nephritic syndromes acute aki atlas casts initial key kidney management membranoproliferative microscopy mpgn
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
Glomerular Diseases ... RBC casts in urine ... diabetes)) #Glomerular ... #Diseases #Nephritic ... #Proteinuria #Nephrology
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... • Calculi Glomerular ... epithelial side of glomerular ... • Thin GBM disease ... • Pauci-immune disease
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
of Glomerular Bleeding ... basement membrane disease ... • Signs of glomerular ... disease Renal ... #urology #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
mimics, repeat testing ... • Evidence of glomerular ... bleeding (proteinuria ... → Refer to Nephrology ... and referral to Urology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... present on repeat testing ... • Drugs Glomerular ... Minimal change disease ... #Nephrology #Differential
Rapidly Progressive Glomerulonephritis (RPGN) - Loss of kidney function over a short period of tirne
with evidence of glomerular ... disease (hematuria ... , proteinuria) ... immune deposits in glomeruli ... post-infectious GN Anti-Glomerular
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
presenting with overt glomerular ... Cytomegalovirus; GBM = glomerular ... impairment), heart disease ... diagnosis cluster, the diseases ... #proteinuria #nephrotic
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... disease 24- ... monitoring low-level glomerular ... of glomerular disease ... #nephritic #nephrology
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
red - cells Non-glomerular ... Dysmorphic red cells - Glomerular ... disease, but can ... Diagnostic of glomerular ... disease • Leukocytes
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... disease 1) 24- ... of glomerular disease ... #glomerular #disease ... #nephrology #nephrotic
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