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diagnosis differential urine urology algorithm acute dipstick glucosuria kidney leucocyteesterase macroscopic management nephrology nitrite prs pulmonary syndromes treatment una urinalysis
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
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
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 ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria ... Differential #Algorithm #Ddxof
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
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... injury), Coags ... Goodpasture's cause ... reveals increasing blood ... , RBC casts, low
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