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diagnosis differential hematuria urine urology acute aki alkalosis hypochloremia injury kidney macroscopic metabolic pathophysiology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
→ Refer to Nephrology ... cystoscopy • Refer to Nephrology ... by UW IM Residency ... #Workup #urology ... #blood #urine
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
RBC’s, RBC/WBC casts ... throughout (upper urinary ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria ... #Ddxof
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Chloride Algorithm ... • Normal/low blood ... Normal acid-base status ... the indicated causes ... #Algorithm #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... Algorithm and Differential ... osmolarity If cause ... #Diagnosis #nephrology ... #causes
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... altered mental status ... • Fatigue Chloride ... Pathophysiology #Nephrology ... #Chloride
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