58 results
Glomerular Diseases - Spectrum
 - Insidious vs Acute
 - Nephritic (hypertension, hematuria, renal failure) vs Nephrotic
- Insidious vs Acute ... (hypertension, hematuria ... Nephrotic (Heavy proteinuria ... #differential #diagnosis ... #nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
repeat testing • Acute ... unilateral flank pain ... glomerular bleeding (proteinuria ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
Glomerular Diseases ... syndrome—due to GBM ... hematuria. ... RBC casts in urine ... #Nephrology #Diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
urine can induce color ... Brown urine - Proteinuria ... of glomerular disease ... #causes #urology ... #nephrology #renal
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... eosinophiluria, microscopic hematuria ... , mild tubular proteinuria ... #Algorithm #nephrology ... #diagnosis
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
and/or proteinuria ... (RBC casts or dysmorphic ... RBCs in urine)? ... Comparison #Algorithm #Nephrology ... #Diagnosis
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
and Differential Diagnosis ... RBC’s, RBC/WBC casts ... , proteinuria suggest ... intrinsic renal disease ... #EM #IM #Urology
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... - Differential Diagnosis ... Minimal change disease ... #Nephrology #Differential ... #Diagnosis #Algorithm
Sickle Cell Disease (SCD) Nephropathy
 • Cortical Manifestations
    - Main issue: Hemolysis-associated endothelial
Manifestations - Main ... alterations - Proteinuria ... Manifestations - Hematuria ... #Nephropathy #diagnosis ... #differential #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Cytomegalovirus; GBM ... In each diagnosis ... Nephrocalcinosis causes ... Hematuria may be ... nephrotic #syndrome #nephrology