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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic ... hematuria (RBC casts ... #Nephritic #Nephrotic ... #Syndrome #Comparison ... #Algorithm #Nephrology
Nephritic nephrotic algorithm. #kidney #Nephritic #Nephrotic #Syndrome #Comparison #Algorithm #Nephrology #Diagnosis
Nephritic nephrotic ... #kidney #Nephritic ... #Nephrotic #Syndrome ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Red blood cell casts ... edgarvlermamd - Nephrology ... #Comparison #Table ... #Nephrology #Diagnosis
Nephrotic vs Nephritic Syndrome

-Joel M. Topf, MD FACP @kidney_boy

#Nephrotic #Nephritic #Syndrome #nephrology #comparison #diagnosis
Nephrotic vs Nephritic ... @kidney_boy #Nephrotic ... #Nephritic #Syndrome ... #nephrology #comparison
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
and Nephrotic Syndromes ... Nephritic syndrome—due ... RBC casts in urine ... but in severe cases ... #Proteinuria #Nephrology
Spectrum of Glomerular Diseases
Nephrotic - Mechanism:
 • Injury to podocytes
 • Changed architecture: Scanning. Deposition of
Glomerular Diseases Nephrotic ... other elements Nephritic ... spectrum #diagnosis #nephrology ... #nephritic #nephrotic ... #comparison
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... fresh at time of microscopy ... ” - Necrotic tubular ... contamination #Urine #Microscopy ... key #diagnosis #nephrology
Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Urine Microscopy ... and Casts - Image ... Transitional Epithelial Cells ... Cast - Waxy Cast ... JoseTesser) #Urine #Microscopy
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
tubulointerstitial nephritis ... tuberculosis Fatty - Nephrotic ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... suggestive of nephrotic ... #Urine #Microscopy ... #nephrology #interpretation