33 results
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Negative urine dip ... Positive urine dip ... proliferative • Anti-GBM ... #Nephrology #Differential
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
syndrome—due to GBM ... RBC casts in urine ... Proteinuria often ... Massive proteinuria ... #Nephrology #Diagnosis
Reverse Pivot Shift Test on Physical Exam

Dx: Posterolateral corner injury; but beware proximal tib/fib instability 

Kendall
Reverse Pivot Shift ... Physical Exam Dx ... iamDrHamilton #PLC ... injury #Reverse #Pivot ... #PhysicalExam #clinical
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
overt glomerular proteinuria ... Cytomegalovirus; GBM ... Overglomerular proteinuria ... Nephrocalcinosis causes ... nephrotic #syndrome #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
 • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
dysmorphic RBC, RBC casts ... , +/- proteinuria ... immune deposits on EM ... Glomerulonephritis #MPGN #nephrology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
toxo IgG • CNS PCR ... granulomatosis: • EBV-associated ... differential #diagnosis #causes ... #radiology #neurology
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
function of the DIP ... joint needs to be clinically ... Finger deformity caused ... distal to the DIP ... MH/CCF/CWRU EM
Ocular Nystagmus in PSC BPPV after Dix Hallpike Maneuver

This is a case of posterior semicircular canal
Ocular Nystagmus in PSC ... BPPV after Dix ... Maneuver This is a case ... Hallpike #Maneuver #clinical ... ophthalmology #neurology
Staphylococcus-associated GlomeruloNephritis - Diagnosis and Management Summary
CLINICAL
 • Nephritic syndrome (Casts)
 • Marked proteinuria (may be
Management Summary CLINICAL ... Nephritic syndrome (Casts ... ) • Marked proteinuria ... GlomeruloNephritis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
osmolarity If cause ... investigations depending on clinical ... ANCA, ANA, Anti-GBM ... Differential #Diagnosis #nephrology ... #causes