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nephrology algorithm differential hematuria table acute blood diuresis diuretics excretion glomerulonephritis hyponatremia hypotonic injury intercellularshift kidney macroscopic management medications membranoproliferative
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
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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... - Renal Failure ... , RTA Type IV, AI ... reabsorption) Workup ... only if no clear cause
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... algorithm Urine Na+K ... : Hypovolemia, Hypervolemia ... #differential #diagnosis ... table #sodium #nephrology
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
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... disequilibrium syndrome • Diagnosis ... hyperreactivity • Urologic ... Hyponatremia • Hypercalcemia ... Kidney stones caused
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