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diagnosis differential algorithm nephrology urine urology acute kidney management treatment crystals dipstick em glucosuria leucocyteesterase macroscopic nitrite prs pulmonary rhabdomyolysis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... proteinuria, RBC casts ... for renal biopsy ... by UW IM Residency ... #urology #blood
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
urine • 1ml blood ... Immune mediated injury ... RBC casts → Diagnostic ... #urology #nephrology ... blood
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
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
INTRINSIC: - Glomerular ... cell casts on UA ... tubular cell casts ... or pigmented casts ... #AKI #Differential
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... osmolarity If cause ... #AKI #Workup #Algorithm ... #causes
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... injury), Coags ... reveals increasing blood ... , RBC casts, low ... hypercellular glomeruli
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... declines > ALT) • AKI ... UA positive for blood ... + myoglobin AKI ... Cast formation:
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Urinary casts ... used with normal renal ... Acute Kidney Injury ... (AKI) FE Na < ... leucocyte-esterase #urine #UNa #casts
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