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diagnosis differential algorithm blood urine em macroscopic nephrology nonglomerular renal rheumatology vasculitis
Causes of Hematuria - Glomerular vs Non-glomerular == Glomerular == - Glomerulonephritis - Thin basement membrane disease ==
Causes of Hematuria ... basement membrane disease ... == Kidney - ... - Polycystic kidney ... #Differential #Urology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... • Evidence of glomerular ... and referral to Urology ... by UW IM Residency ... #urology #blood
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... Diagnosis Renal: - Glomerular ... Medullary sponge kidney ... necrosis, Sickle cell disease ... #urology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
of Glomerular Bleeding ... basement membrane disease ... disease Renal ... Causes of Hematuria ... #urology #nephrology
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
RBC’s, RBC/WBC casts ... intrinsic renal disease ... Diagnosis #EM #IM ... #Urology #Hematuria ... Differential #Algorithm #Ddxof
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Mononeuritis multiplex • Hematuria ... affects the skin, neurologic ... musculoskeletal systems • Kidneys ... : Non-glomerular ... tract, and often causes
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