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diagnosis differential urine causes clinical algorithm blood casts management pulmonary smear treatment urology acidfastbacilli acutekidneyinjury afb aki atlas babesia babesiosis
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
urine sediment Microscopic ... urine sediment by microscopy ... pain + gross or microscopic ... - Can cause microscopic ... causes #urology #nephrology
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Dyspnea, Fever, Hematuria ... polyangiitis, Microscopic ... , anti-CCP • CXR ... resolution chest CT ... differential #diagnosis #nephrology
Urinary Tract Tuberculosis - Contrast-enhanced computed tomography (CT) of the abdomen showed mild dilatation of the
computed tomography (CT ... dilatation of the left renal ... pelvis and thickening ... AcidFastBacilli #Microscopy ... #NEJM
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... → Refer to Nephrology ... for renal biopsy ... → CT urography and ... cystoscopy • Refer to Nephrology
Diagnostic Criteria for Scleroderma Renal Crisis 1. New onset blood pressure >150/85 mm Hg OR increase
for Scleroderma Renal ... examination - Microscopic ... hematuria on urine ... and/or red blood cells ... on urine microscopy
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... - Normal • Renal ... fresh at time of microscopy ... contamination #Urine #Microscopy ... key #diagnosis #nephrology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... , proteinuria, hematuria ... Other tests: • CT ... seen on chest CT ... or gross hematuria
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... Cl/urea/protein/Cr ... - Renal/bladder ... - 45% - Pre-renal ... AcuteKidneyInjury #AKI #Nephrology
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... [(U Na x P Cr) / ... (P Na x U Cr)] ... used with normal renal ... casts #glucosuria #hematuria
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
) • AKI: BUN/Cr ... HYPOTENSION → renal ... perfusion → renal ... kidney tubular cells ... causes #treatment #nephrology
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