20 results
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 ... hematuria (RBC ... Comparison #Algorithm #Nephrology ... #Diagnosis
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
- Nephritic and ... hematuria. ... RBC casts in urine ... #Proteinuria #Nephrology ... #Diagnosis
Glomerular Diseases - Spectrum
 - Insidious vs Acute
 - Nephritic (hypertension, hematuria, renal failure) vs Nephrotic
Insidious vs Acute - Nephritic ... (hypertension, hematuria ... , renal failure) ... vs Nephrotic (Heavy ... #nephrology
Causes of Hematuria - Differential Diagnosis Algorithm
Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... - Differential Diagnosis ... cells on urine microscopy ... • Hereditary nephritis ... and >3.5g/day (nephrotic
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Diagnosis Framework ... of glomerular hematuria ... : - RBC casts ... Causes of Hematuria ... #nephrology #renal
Summary of characteristic abnormalities of selected glomerular diseases
Light Microscopy (LM) - Immunofluorescence Microscopy (IM) - Electron
(EM) Haematuria ... /nephritis • Lupus ... Haemolytic-uraemic syndrome Nephrotic ... #diseases #nephrology ... comparison #table #diagnosis
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Acute Interstitial Nephritis ... sterile pyuria, WBC ... , microscopic hematuria ... #Interstitial #Nephritis ... #diagnosis
Causes of Hematuria - Differential Diagnosis
Renal:
 - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... - Differential Diagnosis ... Renal: - Glomerular ... - Interstitial nephritis ... #Diagnosis #Causes
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... of UTI, urine WBCs ... • Evidence of glomerular ... → Refer to Nephrology ... for renal biopsy
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
tubulointerstitial nephritis ... , renal tuberculosis ... Fatty - Nephrotic ... #Differential #Microscopy ... #Diagnosis #Nephrology