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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic ... hematuria (RBC casts ... #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Red blood cell casts ... edgarvlermamd - Nephrology ... #Comparison #Table ... #Nephrology #Diagnosis
Glomerular Diseases - Spectrum
 - Insidious vs Acute
 - Nephritic (hypertension, hematuria, renal failure) vs Nephrotic
- Insidious vs Acute ... , hematuria, renal ... failure) vs Nephrotic ... #differential #diagnosis ... #nephrology
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis
 - Prerenal
 - ATN
 - AIN
 -
Acute Kidney Injury ... Syndrome - Nephritic ... AKI #Urinalysis #diagnosis ... #table #comparison ... #nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
are seen in acute ... , renal tuberculosis ... Fatty - Nephrotic ... Differential #Microscopy #Diagnosis ... #Nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
tubular cells - Acute ... - Diagnostic of ... ” - Necrotic tubular ... protein indicating acute ... #nephrology #casts
Intrinsic Renal Disease - Differential Diagnosis
Vascular:
 • Macrovascular: Renal artery occlusion, Fibromuscular disease
 • Microvascular: TTP/HUS,
- Differential Diagnosis ... Glomerular: • Nephrotic ... Antibiotics, NSAIDs, Cast ... #Disease #nephrology ... #differential #diagnosis
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
suggestive of acute ... in a variety of acute ... suggestive of nephrotic ... Urine #Microscopy #nephrology ... interpretation #diagnosis
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
- Differential Diagnosis ... at least 50% Renal ... Epithelial cell casts ... Interstitial Nephritis ... #KidneyInjury #Nephrology
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... tubular cell casts ... or pigmented casts ... Management: Avoiding nephrotoxic ... appropriate) #Acute