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diagnosis differential nephrology algorithm blood treatment urine acute diuresis diuretics em excretion hyperkalemia injury kidney macroscopic medications pharmacology potassium prs
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... for renal biopsy ... and referral to Urology ... by UW IM Residency ... #urology #blood
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
disease - Alport syndrome ... syndrome: • ... Causes of Hematuria ... • Nutcracker syndrome ... #urology #nephrology
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... Differential Diagnosis Renal ... : - Glomerular ... membrane, Alport syndrome ... #urology
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 ... osmolarity If cause ... cryoglobulins, hepatitis serology ... , HIV serology, ... #causes
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... , hematuria) • ... mononeuritis multiplex WORKUP ... hypercellular glomeruli ... #diagnosis #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
- Renal Failure ... , RTA Type IV, AI ... reabsorption) Workup ... only if no clear cause ... Treatment #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... hyperreactivity • Urologic ... irrigation • Management ... Kidney stones caused ... Excretion #Diuresis #Nephrology
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