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differential nephrology algorithm hematuria blood hyperkalemia management treatment acute em glomerulonephritis hyponatremia hypotonic injury intercellularshift kidney macroscopic membranoproliferative mpgn physiologic
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
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
UOP/weights - Urine ... Na/K/Cl/urea/protein ... Atheroemboli — 1% #AcuteKidneyInjury ... #AKI #Nephrology ... #Diagnosis #Algorithm
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
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... → Diagnostic of ... #Differential #Diagnosis ... #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
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... Na+K / serum Na ... #differential #diagnosis ... table #sodium #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
Glomerulonephritis (MPGN) AKA ... GN • Active Urine ... dysmorphic RBC, RBC casts ... formation along glomerular ... #diagnosis #renal
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... mononeuritis multiplex WORKUP ... : UA, Urine protein ... Goodpasture's cause ... 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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... , RTA Type IV, AI ... reabsorption) Workup ... lysis) ± Urine ... only if no clear cause
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