15 results
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
: Red/Dark urine ... 1ml blood/liter urine ... Causes of Hematuria ... #urology #nephrology ... #renal #urine #
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... if cause not identified
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... serum magnesium x urine ... differential #diagnosis #causes ... #nephrology #magnesium ... #low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Urine Cl-: Vomiting ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology ... #Causes
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
Causes of Polyuria ... • Central Dl (Low ... Nephrogenic DI (Renal ... Polyuria Mimics (↑ urine ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... causes • Laxative ... differential #potassium #nephrology ... #low
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm
Normal Anion Gap (<14) (Loss of Bicarbonate) -
Causes of Non-Gap ... Loss (Negative urine ... Diarrhea • Fistula Renal ... Cell Problem - Low ... MetabolicAcidosis #NonGap #Nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... can be high or low ... Primary polydipsia), Low ... table #sodium #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... Creatinine • Chronic renal ... IntercellularShift #Nephrology ... Diagnosis #Algorithm #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Causes of Hypokalemia ... Decreased intake (rare cause ... isolation) GI loss - Urine ... aldosterone • Renal ... #Hypokalemia #Nephrology