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diagnosis differential algorithm nephrology urology urine acute em hepatology hepatorenal hrs hyperkalemia injury kidney macroscopic management prs pulmonary rheumatology syndrome
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... • Evidence of glomerular ... 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 ... of Glomerular Bleeding ... Causes of Hematuria ... #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 - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... Investigations: full blood ... osmolarity If cause ... #Workup #Algorithm ... #causes
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... hypotension) Decreased Glomerular ... Creatinine • Chronic renal ... failure • AKI ... #Hyperkalemia #IntercellularShift
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... mononeuritis multiplex WORKUP ... Goodpasture's cause ... reveals increasing blood ... hypercellular glomeruli
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... bland urine, no hematuria ... , protein, or blood ... causes (esp. ... Syndrome #Hepatology #Nephrology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Mononeuritis multiplex • Hematuria ... pulmonary and renal ... pulses, bruits, or blood ... • Kidneys: Non-glomerular ... tract, and often causes
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