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Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
• Evidence of glomerular ... for renal biopsy ... if cause not identified ... by UW IM Residency ... #urology #blood
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... and Differential Diagnosis ... Investigations: full blood ... osmolarity If cause ... #nephrology #causes
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... urine • 1ml blood ... #causes #urology ... #nephrology #renal ... #urine #blood
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
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
dysmorphic RBC, RBC casts ... formation along glomerular ... immune deposits on EM ... anti-phospholipid syndrome ... #diagnosis #renal
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
- Differential Diagnosis ... visits, Ambulatory blood ... multi-drug resistance) Renal ... • AKI/CKD Mineralocorticoid ... HTN #Secondary #Nephrology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... Goodpasture's cause ... reveals increasing blood ... hypercellular glomeruli ... #treatment
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
- Differential Diagnosis ... Repeatedly normal blood ... taken at home, work ... disease - CKD, AKI ... excess (Cushing syndrome
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... heart failure, neurologic ... Neurologic disorders ... #Hypertension #Workup
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... Management Summary Causes ... UA positive for blood ... + myoglobin AKI ... #treatment #nephrology
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