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algorithm differential nephrology hematuria hypertension secondary urology acute blood chronic glomerulonephritis htn indications injury intercellularshift k kidney kidneydisease macroscopic management
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... • Evidence of glomerular ... for renal biopsy ... by UW IM Residency
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... and Differential Diagnosis ... osmolarity If cause ... #Workup #Algorithm ... #nephrology #causes
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... - Differential Diagnosis ... Atherosclerosis Glomerular ... Hyperoxaluria • Hypercalcemia ... Hyperphosphatemia #CKD
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
and Differential Diagnosis ... RBC’s, RBC/WBC casts ... suggest intrinsic renal ... #EM #IM #Urology ... Differential #Algorithm #Ddxof
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
multi-drug resistance) Renal ... Nephritic syndrome • AKI ... /CKD Mineralocorticoid ... Hyperthyroidism • Hypercalcemia ... HTN #Secondary #Nephrology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... disease: CKD, acute ... Neurologic disorders ... #Hypertension #Workup
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... - Differential Diagnosis ... hypotension) Decreased Glomerular ... Creatinine • Chronic renal ... failure • AKI
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
Glomerulonephritis (MPGN) AKA ... dysmorphic RBC, RBC casts ... formation along glomerular ... immune deposits on EM ... #diagnosis #renal
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... , RTA Type IV, AI ... reabsorption) Workup ... VBG (acidosis), CK ... only if no clear cause
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