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algorithm differential workup acute casts hematuria nephritis proteinuria renal aki glomerulonephritis syndrome syndromes testing urology ain amyloid atlas biopsy classification
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic ... the patient have glomerular ... RBCs in urine)? ... Comparison #Algorithm #Nephrology ... #Diagnosis
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
- Nephritic and ... Nephrotic Syndromes ... RBC casts in urine ... #Proteinuria #Nephrology ... #Diagnosis
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Algorithm Red blood ... cells on urine ... microscopy. ... • Hereditary nephritis ... and >3.5g/day (nephrotic
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
• Drugs Glomerular ... sediment - WBC/ ... RBC casts ... Amyloidosis) ... #Proteinuria #Nephrology
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... tubulointerstitial nephritis ... tuberculosis Fatty - Nephrotic ... #Differential #Microscopy ... #Diagnosis #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... • 1ml blood/liter ... casts → Diagnostic ... #nephrology #renal ... #urine #blood
Lupus Nephritis - Diagnostic approach to kidney disease associated with systemic lupus erythematosus (SLE) SLE patient develops
Lupus Nephritis ... > 500 mg/d • Nephritic ... urine sediment ... casts, WBC casts ... 5%) #Lupus #Nephritis
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of nephrotic ... glomerulonephritis • WBC ... #Urine #Microscopy ... #diagnosis
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
content [85].2>5 red blood ... clusters because nephritic ... Nephrocalcinosis causes ... #nephrotic #syndrome ... #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... WBCs, or urine ... • Evidence of glomerular ... → Refer to Nephrology ... Workup #urology #blood
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