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differential nephrology causes algorithm neurology aki management hyponatremia metabolic workup alkalosis kidney table treatment casts classification discoloration hypokalemia injury kidneyinjury
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology ... #Diagnosis
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
and Nephrotic Syndromes ... Nephritic syndrome—due ... RBC casts in urine ... #Proteinuria #Nephrology ... #Diagnosis
Urine Color - Differential Diagnosis Red Urine: • Medical conditions: bleeding, porphyria, factitious disorder • Meds: rifampin,
Diagnosis Red Urine ... Medical conditions: hyperbilirubinemia ... : • Any cause of ... dyes typically cause ... discoloration #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... osmolarity If cause ... • Cardio-renal syndrome ... #nephrology #causes
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... repeat testing • Acute ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... disease - Alport syndrome ... pain hematuria syndrome ... → Diagnostic of ... #nephrology #renal
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... - Differential Diagnosis ... • Fanconi's syndrome ... #Proteinuria #Nephrology ... #Algorithm #Causes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
- Differential Diagnosis ... hyperaldosteronism • Low Urine ... (late) • High Urine ... #Algorithm #Nephrology ... #Causes
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
- Differential Diagnosis ... hyperlipidemia, hemolysis, hyperbilirubinemia ... t-PA, heparin Acute ... Rhabdomyolysis, Tumor lysis syndrome ... Workup #phosphate #nephrology
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... - Differential Diagnosis ... sodium retention, Urine ... • Sepsis • Acute ... #Algorithm #Causes
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