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algorithm nephrology blood management acute aki ckd ddxof glomerular im injury kidneydisease macroscopic microscopic nonglomerular rheumatology transplant treatment vasculitis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... for renal biopsy ... and referral to Urology ... if cause not identified ... #Workup #urology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... #Differential # ... Diagnosis #causes ... #urology #nephrology ... #renal #urine #
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Diagnosis Baseline ... cryoglobulins, hepatitis serology ... , HIV serology, ... #Diagnosis #nephrology
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... Diagnosis Renal: ... #Hematuria #Differential ... #Diagnosis #Causes ... #urology
Causes of Hematuria - Glomerular vs Non-glomerular == Glomerular == - Glomerulonephritis - Thin basement membrane disease ==
Causes of Hematuria ... Pyelonephritis - Renal ... Glomerular #Algorithm #Diagnosis ... #Differential # ... Urology
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... Hematuria Important ... RBC’s, RBC/WBC casts ... suggest intrinsic renal ... #EM #IM #Urology
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... - Differential Diagnosis ... Family history, ultrasound ... #Differential # ... #Causes
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
Hematuria in Post-Renal ... FSGS • Other: Chronic ... #differential # ... diagnosis #kidney ... #blood #urine #
Approach to Microscopic Hematuria Microscopic hematuria is often incidental but may be associated with urologic malignancy.
properly collected urine ... with cystoscopy & renal ... ultrasound ... #Microscopic #diagnosis ... #management #urology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Mononeuritis multiplex • Hematuria ... pulmonary and renal ... musculoskeletal systems • Kidneys ... Eosinophilia, asthma, chronic ... tract, and often causes
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