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diagnosis differential renal algorithm blood nephrotic proteinuria causes discoloration glomerular management nephritic pulmonary syndromes treatment urology abnormal casts classification color
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient has hematuria ... have glomerular hematuria ... (RBC casts or dysmorphic ... RBCs in urine)? ... Comparison #Algorithm #Nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... WBCs, or urine ... (proteinuria, RBC ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
: 3 or more RBC/ ... disease - Alport syndrome ... syndrome: • ... • Nutcracker syndrome ... causes #urology #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
and Nephrotic Syndromes ... Nephritic syndrome—due ... hematuria. ... RBC casts in urine ... #Proteinuria #Nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Proteinuria (Negative urine ... • Fanconi's syndrome ... sediment - WBC/ ... RBC casts ... #Proteinuria #Nephrology
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
(blue diaper syndrome ... Bag Syndrome - ... : • Hematuria, ... : • Hematuria, ... Differential #Diagnosis #nephrology
Abnormally Colored Urine - Differential Diagnosis Framework Red: - Hematuria, Hemoglobinuria, Myoglobinuria - Beets, Rhubarb, Blackberries, Artificial
Abnormally Colored Urine ... Framework Red: - Hematuria ... Purple: - Purple urine ... bag syndrome (chronically ... Differential #Diagnosis #nephrology
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
Hematuria in Post-Renal ... (Goodpasture's syndrome ... TheIDtrivia #Hematuria ... kidney #blood #urine ... management #treatment #nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of nephrotic sydnrome ... glomerulonephritis • WBC ... EricsMedicalLectures/ #Casts #Urine ... #Microscopy #nephrology
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal Syndrome ... Dyspnea, Fever, Hematuria ... Pulmonary Renal Syndromes ... Investigations • Labs: CBC ... differential #diagnosis #nephrology
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