9 results
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... dysmorphic RBC’s, RBC ... prostatic) #Diagnosis #EM ... #Differential #Algorithm
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
glomerular hematuria (RBC ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU EM ... Management #Seizure #Algorithm ... #CriticalCare #Neurology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
 • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
Sediment (dysmorphic RBC ... , RBC casts, +/- ... immune deposits on EM ... Glomerulonephritis #MPGN #nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... (proteinuria, RBC ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... Hematuria #Diagnosis #Algorithm
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... sediment - WBC/RBC ... #Proteinuria #Nephrology ... Differential #Diagnosis #Algorithm
Podocytopathies - Differential Diagnosis Algorithm

No podocytopenia - EM shows minimal change disease
 • Minimal Change Nephropathy
Podocytopenia
Differential Diagnosis Algorithm ... podocytopenia - EM ... Differential #Diagnosis #Algorithm ... #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... MH/CCF/CWRU EM ... #Differential #Algorithm ... diagnosis #causes #nephrology
Lupus Nephritis - Diagnostic approach to kidney disease associated with systemic lupus erythematosus (SLE)
SLE patient develops
dysmorphic RBCs, RBC ... Nephritis #diagnosis #algorithm ... #sle #nephrology