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diagnosis nephrology differential nephritic comparison diseases glomerulonephritis hematuria testing urology acute aki blood classification disease hyponatremia initial injury kidney low
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria and/or proteinuria ... /nephritic syndromes ... the patient have glomerular ... hematuria (RBC casts ... #Algorithm #Nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
Glomerular Diseases ... Nephrotic Syndromes ... Nephritic syndrome—due ... Nephrotic yndrome—podocyte ... #Nephrotic #Syndromes
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
• Evidence of glomerular ... bleeding (proteinuria ... if cause not identified ... by UW IM Residency ... #Workup #urology
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
RBC’s, RBC/WBC casts ... , proteinuria suggest ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria ... #Ddxof
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... hemolytic-uremic syndrome ... Nephrocalcinosis causes ... #proteinuria #nephrotic ... #syndrome #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Differential Diagnosis Algorithm ... • Fanconi's syndrome ... • Drugs Glomerular ... #Nephrology #Differential
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... infections are common causes ... #testing #workup ... glomerulonephritis #nephrotic ... #nephritic #nephrology
Summary of characteristic abnormalities of selected glomerular diseases Light Microscopy (LM) - Immunofluorescence Microscopy (IM) - Electron
Immunofluorescence Microscopy (IM ... Electron Microscopy (EM ... ) Haematuria/nephritis ... Nephrotic syndrome ... #diseases #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
, +/- proteinuria ... formation along glomerular ... immune deposits on EM ... anti-phospholipid syndrome ... glomerulopathy, radiation nephritis
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... infections are common causes ... #workup #diagnosis ... initial #testing #nephrology ... #nephrotic #nephritis
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