21 results
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... → Refer to Nephrology ... and referral to Urology ... #Diagnosis #Algorithm ... #Workup #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 ... , proteinuria suggest ... #EM #IM #Urology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
the patient has hematuria ... and/or proteinuria ... (RBC casts or dysmorphic ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Diagnosis Framework ... → Diagnostic of ... Brown urine - Proteinuria ... #causes #urology ... #nephrology #renal
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Algorithm Persistent ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
syndrome—due to GBM ... hematuria. ... RBC casts in urine ... Proteinuria often ... #Nephrology #Diagnosis
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... eosinophiluria, microscopic hematuria ... , mild tubular proteinuria ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
Algorithm for evaluating multiple ring-enhancing lesions in immunocompetent (HIV negative)

#ringenhancing #lesions #cns #brain #diagnosis #differential #algorithm
Algorithm for evaluating ... ringenhancing #lesions #cns ... #brain #diagnosis ... #causes #radiology ... #neurology
Rapidly Progressive Glomerulonephritis (RPGN) 
 - Loss of kidney function over a short period of tirne
glomerular disease (hematuria ... , proteinuria) ... staining on IF • No EM ... #Differential #Diagnosis ... #Nephrology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Chorioretinitis • Diagnosis ... PCR 50% sensitive ... #differential #diagnosis ... #causes #radiology ... #neurology