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differential algorithm nephrology management blood hyperkalemia treatment acute glomerulonephritis injury intercellularshift k kidney macroscopic membranoproliferative microscopic mpgn nonglomerular potassium prs
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... for renal biopsy ... and referral to Urology ... by UW IM Residency ... #Workup #urology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Diagnosis Framework ... RBC casts → Diagnostic ... Causes of Hematuria ... #causes #urology ... #nephrology #renal
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
Causes of Hematuria - Glomerular vs Non-glomerular == Glomerular == - Glomerulonephritis - Thin basement membrane disease ==
Causes of Hematuria ... Pyelonephritis - Renal ... #Diagnosis #Nonglomerular ... #Causes #Differential ... #Urology
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... - Differential Diagnosis ... Renal: - Glomerular ... #Diagnosis #Causes ... #urology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... 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 ... , hematuria) • ... mononeuritis multiplex WORKUP ... : UA, Urine protein ... hypercellular glomeruli
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... hypotension) Decreased Glomerular ... Creatinine • Chronic renal ... failure • AKI
Approach to Microscopic Hematuria Microscopic hematuria is often incidental but may be associated with urologic malignancy.
RBC's, cellular casts ... properly collected urine ... with cystoscopy & renal ... #Microscopic #diagnosis ... #management #urology
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