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diagnosis nephrology causes management treatment alkalosis hyponatremia infectiousdiseases metabolic acute hypokalemia pulmonary renal table urology workup blood cardiology nephrotic pediatrics
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient has hematuria ... have glomerular hematuria ... (RBC casts or dysmorphic ... RBCs in urine)? ... #Comparison #Algorithm
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
and Nephrotic Syndromes ... Nephritic syndrome—due ... hematuria. ... RBC casts in urine ... but in severe cases
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... disease - Alport syndrome ... syndrome: • ... : - RBC casts ... #Differential #
Step by Step Algorithmic Approach to Pediatric Fever Age < 21 days old (or 28 days for
Step by Step Algorithmic ... Approach to Pediatric Fever ... sensitivity) Leukocytes ... in the urine Procalcitonin ... #Infant #Fever
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... • Confirm hematuria ... proteinuria, RBC casts ... #Diagnosis #Algorithm
Causes of Dysuria - Differential Diagnosis Algorithm Pyuria - Leukocytes on Dipstick/Microscopy - Bacteriuria & Hematuria -
Causes of Dysuria - Differential ... Diagnosis Algorithm ... Pyuria - Leukocytes ... Bacteriuria & Hematuria ... Pyelonephritis - WBC Casts
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Proteinuria - Differential ... Diagnosis Algorithm ... • Exercise • Fever ... • Fanconi's syndrome ... sediment - WBC/RBC casts
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... - Differential ... membrane, Alport syndrome ... - Structural - Cysts ... #Hematuria #Differential
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Ketones • Leukocyte ... • Urinary casts ... dipstick #nitrite #leucocyte-esterase ... #urine #UNa #casts ... #glucosuria #hematuria
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... triad (<10%): fever ... sterile pyuria, WBC casts ... eosinophiluria, microscopic hematuria ... Nephritis #AIN #Algorithm
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