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diagnosis differential nephrology causes algorithm clinical management pocus ultrasound pharmacology kidney pathophysiology table treatment rheumatology syndrome signs symptoms workup classification
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
Hematuria in Post-Renal ... infections (HPV, EBV), Renal ... Chronic rejection, Nephrolithiasis ... TheIDtrivia #Hematuria ... #Renal #Transplant
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... Algorithm • Confirm hematuria ... → Evaluate for nephrolithiasis ... Nephrology for renal ... uw_IMresidency #Hematuria
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Malignant HTN • Renal ... thrombosis • Renal ... Sickle cell) • Renal ... Compression of left renal ... TURP/Biopsy Renal
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... Differential Diagnosis Renal ... Uncertain - Exercise haematuria ... Anticoagulation, Facititious hematuria ... #Hematuria #Differential
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Framework Pre-Renal ... Hypercalcemia, Renal ... Medications Intra-Renal ... Autoimmune Post-Renal ... Obstruction (Tumor, Nephrolithiasis
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
of Macroscopic Hematuria ... suggest intrinsic renal ... #IM #Urology #Hematuria
Glomerular Diseases - Spectrum - Insidious vs Acute - Nephritic (hypertension, hematuria, renal failure) vs Nephrotic
(hypertension, hematuria ... , renal failure)
Causes of Hematuria - Glomerular vs Non-glomerular == Glomerular == - Glomerulonephritis - Thin basement membrane disease ==
Causes of Hematuria ... Pyelonephritis - Renal ... amzn.to/2LmUODZ #Hematuria
Legionnaire's Disease - Extrapulmonary organ involvement: CNS: Mental confusion, encephalopathic, headache. Cardiac: Relative bradycardia. GI: Loose
Renal: Microscopic ... hematuria, renal
Indications for Parathyroidectomy in Primary Hyperparathyroidism • All patients with symptomatic PHPT • Serum calcium 1
• Evidence of renal ... involvement (nephrolithiasis ... risk, impaired renal
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