28 results
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... and Differential Diagnosis ... renal biopsy • ... #Injury #AKI #Workup ... #nephrology #causes
Renal Biopsy - Absolute and Relative Contraindications
WHEN NOT TO DO IT:
 • Isolated glomerular hematuria, unless
Renal Biopsy - Absolute ... progressive • Low ... #Biopsy #kidney ... Contraindications #management ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... mOsm/kg - Implies renal ... • Euvolemic (Low ... #nephrology #sodium
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- Differential Diagnosis ... Framework and Workup ... • Serum K: low ... #Differential #Diagnosis ... #Workup #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... #phosphate #nephrology
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... first Small bowel biopsy ... endoscopy only if: • Negative ... change medical management ... Gastrointestinal #Evaluation #workup
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
pancreas, biliary, renal ... • Some false negative ... #management #phenotypes ... #workup #treatment ... #rheumatology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... polyangiitis) - ANCA-negative ... out infection, biopsy ... #differential #diagnosis ... #nephrology
Systemic Lupus Erythematosus (SLE) - Diagnosis and Management Summary
 • Epidemiology: 10-180/100,000, Typically Age 20-40, F:M
Erythematosus (SLE) - Diagnosis ... • Immunologic Workup ... 60-80% - Low ... pANCA anti-MPO - Negative ... #rheumatology