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diagnosis differential nephrology urine algorithm kidney management urology bloodsmear borrelia clinical crystals dipstick glucosuria hepatology hepatorenal hrs leucocyteesterase microscopy nitrite
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... repeat testing • Acute ... proteinuria, RBC casts ... for renal biopsy ... #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
Acute Kidney Injury ... 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
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... UA positive for blood ... + myoglobin AKI ... Cast formation: ... #treatment #nephrology
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
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
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
hepatitis, or acute ... Bland urine (no casts ... , protein, or blood ... Treatment Overview ... essential in all cases
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Northeast Africa with cases ... Several cases have ... Specific organ injury ... smear, acute and ... or PenG 800K U IM
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