6 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Dyspnea, Fever, Hematuria ... polyangiitis, Microscopic ... , anti-CCP • CXR ... resolution chest CT
Diagnostic Criteria for Scleroderma Renal Crisis 

1. New onset blood pressure >150/85 mm Hg OR increase
examination - Microscopic ... hematuria on urine ... and/or red blood cells ... on urine microscopy ... anuria - Flash pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... , proteinuria, hematuria ... Other tests: • CT ... seen on chest CT ... or gross hematuria
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
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
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Mononeuritis multiplex • Hematuria ... progressing GN • New pulmonary ... and renal abnormalities ... Multinucleated giant cells ... (PR3-ANCA)): Microscopic