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diagnosis differential nephrology urology algorithm treatment gastroenterology nephrotic renal anemia biopsy blood contraindications deficiency dysphagia em evaluation gastrointestinal glomerulonephritis hyponatremia
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... mimics, repeat testing ... • Evidence of glomerular ... if cause not identified ... by UW IM Residency
Causes of Hematuria - Glomerular vs Non-glomerular == Glomerular == - Glomerulonephritis - Thin basement membrane disease ==
Causes of Hematuria ... basement membrane disease ... == Kidney - ... - Polycystic kidney ... #Differential #Urology
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
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
Renal Biopsy - Absolute and Relative Contraindications WHEN NOT TO DO IT: • Isolated glomerular hematuria, unless
: • Isolated glomerular ... hematuria, unless ... or systemic disease ... Contraindications #management ... #nephrology
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
inflammation or chronic kidney ... Test for celiac disease ... Non-invasive testing ... change medical management ... Gastrointestinal #Evaluation #workup
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... disease 24- ... infections are common causes ... of glomerular disease ... #testing #workup
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... infections are common causes ... of glomerular disease ... #glomerular #disease ... #workup #diagnosis
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... , proteinuria, hematuria ... mononeuritis multiplex WORKUP ... hypercellular glomeruli ... differential #diagnosis #management
Dysphagia - Differential Diagnosis Framework Symptom | Diagnosis • Solid-food dysphagia present for months to years | Mechanical
• Muscular or neurologic ... stroke, Parkinson disease ... disorder URGENT WORKUP ... the underlying cause ... Differential #Diagnosis #Management
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