23 results
Loin Pain Hematuria Syndrome - Workup Algorithm

#LoinPain #Hematuria #Syndrome #Workup #Algorithm #diagnosis #nephrology
Loin Pain Hematuria ... Syndrome - Workup ... #Hematuria #Syndrome ... #Workup #Algorithm ... #diagnosis #nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... unilateral flank pain ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... #Workup #urology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
the patient has hematuria ... (RBC casts or dysmorphic ... RBCs in urine)? ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Post-infectious GN - Loin pain ... hematuria syndrome ... : • Flank pain ... • Stone • Stricture ... #urology #nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
When to suspect AIN ... eosinophiluria, microscopic hematuria ... associated with AIN ... Interstitial #Nephritis #AIN ... #Algorithm #nephrology
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Mechanisms of Pain ... Complex regional pain ... Spinal injury #Pain ... #Mechanisms #Neurology ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... /Post-op • Neurologic ... #Hyponatremia #Nephrology ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... /Post-op • Neurologic ... #Hyponatremia #Nephrology ... #Causes
Causes of Urinary Tract Obstruction - Differential Diagnosis Algorithm
Upper Tract - Bladder NOT distended on ultrasound,
Causes of Urinary ... Differential Diagnosis Algorithm ... on ultrasound, Hematuria ... , flank pain, +/ ... #Causes #Urology
Gerstmann Syndrome
1) Finger agnosia - Inability to name their own fingers, affecting both sides
2) Right-left confusion
Gerstmann Syndrome ... able to copy Causes ... : Stroke (main cause ... neudrawlogy #Gerstmann #Syndrome ... #neurology #diagnosis