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diagnosis differential algorithm causes management treatment blood hematuria hyperkalemia nephrotic sodium testing urology acidosis disease glomerulonephritis hypernatremia hyponatremia hypophosphatemia hypotonic
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Differential Diagnosis Framework ... and Workup NAGMA ... - Renal • Urine ... Differential #Diagnosis #Workup ... #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... • Evidence of glomerular ... → Refer to Nephrology ... for renal biopsy ... Diagnosis #Algorithm #Workup
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... leukemia Measure Urine ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Differential Diagnosis Framework ... or dipstick) Glomerular ... • Causes of Glomerular ... causes #urology #nephrology ... #renal #urine #
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) Check Urine ... mOsm/kg - Implies renal ... • Euvolemic (Low ... #Algorithm #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
disease 24-hour urine ... in monitoring low-level ... Serum or urine for ... #testing #workup ... nephrotic #nephritic #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... can be high or low ... Primary polydipsia), Low ... differential #diagnosis #table ... #sodium #nephrology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Anti-GBM antibody • Urine ... : UA, Urine protein ... hematuria, RBC casts, low ... hypercellular glomeruli
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
nephron - TTKG > 7, Urine ... < 20 meq/L • Low ... hypotension) Decreased Glomerular ... Creatinine • Chronic renal ... IntercellularShift #Nephrology
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
disease 1) 24-hour urine ... in monitoring low-level ... Serum or urine for ... #workup #diagnosis ... initial #testing #nephrology
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