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diagnosis algorithm differential nephrotic syndrome blood glomerular management nephritic urology abnormal acute associated classification color comparison diseases glomerulonephritis gn hepatology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
unilateral flank pain ... glomerular bleeding (proteinuria ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient has hematuria ... and/or proteinuria ... (RBC casts or dysmorphic ... RBCs in urine)? ... Comparison #Algorithm #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
: Red/Dark urine ... Post-infectious GN - Loin pain ... : • Flank pain ... - Proteinuria ... #urology #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
hematuria. ... RBC casts in urine ... Proteinuria often ... severe cases ... #Nephrology #Diagnosis
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... Hyperoxalirua, Heavy Proteinuria ... : • Hematuria, ... #Color #discoloration ... Differential #Diagnosis #nephrology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
(<10%): fever, rash ... eosinophiluria, microscopic hematuria ... , mild tubular proteinuria ... , granular casts ... #Algorithm #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
arbitrarily defined as urine ... because nephritic urine ... Nephrocalcinosis causes ... Hematuria may be ... nephrotic #syndrome #nephrology
Staphylococcus-associated GlomeruloNephritis - Diagnosis and Management Summary CLINICAL • Nephritic syndrome (Casts) • Marked proteinuria (may be
Nephritic syndrome (Casts ... ) • Marked proteinuria ... • Vasculitic rash ... - Pivotal in ... GlomeruloNephritis #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
damage: bland urine ... , no hematuria/proteinuria ... • Bland urine ... • Urine sodium ... Syndrome #Hepatology #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Lysis (TLS, rhabdo/crush ... tourniquet / IVF line draw ... lysis) ± Urine ... only if no clear cause ... Treatment #potassium #nephrology
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