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algorithm differential nephrology hematuria management acute blood diuresis diuretics excretion glomerulonephritis hyperkalemia hypervolemic hyponatremia hypovolemic injury k kidney macroscopic medications
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
• Evidence of glomerular ... for renal biopsy ... and referral to Urology ... by UW IM Residency ... #urology #blood
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
symptoms (HA, nausea ... cardiac, liver, renal ... #EM #IM #Nephro ... #Hypovolemic #Euvolemic ... Differential #Algorithm #Ddxof
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
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... and Differential Diagnosis ... cryoglobulins, hepatitis serology ... , HIV serology, ... #nephrology #causes
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
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... mononeuritis multiplex WORKUP ... Goodpasture's cause ... hypercellular glomeruli ... #management #treatment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... hyperreactivity • Urologic ... Kidney stones caused ... Tolvaptan) • Treatment ... hypervolemic and euvolemic
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... , RTA Type IV, AI ... reabsorption) Workup ... only if no clear cause ... #potassium #nephrology
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