9 results
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... if cause not identified ... by UW IM Residency ... #Workup #urology ... #blood #urine
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
RBC’s, RBC/WBC casts ... throughout (upper urinary ... Diagnosis #EM #IM ... #Urology #Hematuria ... #Ddxof
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... clots ➔ Lower Urinary ... Upper and Lower urinary ... #urology #nephrology ... blood
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Cl-: Vomiting, ... NGT suction, Low Cl ... Cl-: Diuretics, ... #Nephrology #Causes
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... microscopy / urinary ... osmolarity If cause ... Differential #Diagnosis #nephrology ... #causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Cl- responsive ... Kidney loss of Cl ... alkalosis • Loss of Cl ... Cystic fibrosis Cl ... #Algorithm #nephrology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
UOP/weights - Urine ... Na/K/Cl/urea/protein ... pre-renal) - Urinary ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Cl-: Vomiting, ... NGT suction, Low Cl ... Cl-: Diuretics, ... #Nephrology #Causes
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
hyperreactivity • Urologic ... Inhibitors of Na+K+2Cl ... Kidney stones caused ... Prevention of blood ... Excretion #Diuresis #Nephrology