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diagnosis differential algorithm urology nephrology acute blood em injury kidney macroscopic management membranoproliferative mpgn nonglomerular prs pulmonary rheumatology syndromes treatment
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... • Evidence of glomerular ... for renal biopsy ... if cause not identified ... by UW IM Residency
Causes of Hematuria - Glomerular vs Non-glomerular == Glomerular == - Glomerulonephritis - Thin basement membrane disease ==
Causes of Hematuria ... == - Glomerulonephritis ... Pyelonephritis - Renal ... 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 ... syndrome, Other glomerulonephritis ... #urology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... osmolarity If cause ... and signs • Glomerulonephritis ... #Workup #Algorithm ... #causes
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
RBC’s, RBC/WBC casts ... suggest intrinsic renal ... Diagnosis #EM #IM ... #Urology #Hematuria ... Differential #Algorithm #Ddxof
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
(MPGN) AKA: Mesangiocapillary ... dysmorphic RBC, RBC casts ... formation along glomerular ... #MPGN #nephrology ... #diagnosis #renal
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... , hematuria) • ... mononeuritis multiplex WORKUP ... Goodpasture's cause ... hypercellular glomeruli
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Mononeuritis multiplex • Hematuria ... pulmonary and renal ... affects the skin, neurologic ... • Kidneys: Non-glomerular ... tract, and often causes
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