21 results
diagnosis differential algorithm syndrome cns management blood classification clinical dix glomerular hallpike maneuver nephrotic nystagmus ocular ophthalmology physicalexam posterior renal
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
glomerular bleeding (proteinuria ... → Refer to Nephrology ... and referral to Urology ... cystoscopy • Refer to Nephrology ... Algorithm #Workup #urology
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
suggests calculi/infection ... RBC’s, RBC/WBC casts ... , proteinuria suggest ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
deposits - Post-infectious ... Brown urine - Proteinuria ... Bladder Causes ... • Infection (Viral ... #urology #nephrology
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
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... proliferative • Anti-GBM ... HSP • Post-infectious ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Rapidly Progressive Glomerulonephritis (RPGN) - Loss of kidney function over a short period of tirne
glomerular disease (hematuria ... , proteinuria) ... cryoglobulinemia, post-infectious ... Basement Membrane (GBM ... Differential #Diagnosis #Nephrology
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
feel weak": • Infectious ... : Influenza, EBV ... ↓, Malignancy, Infection ... Differential #Diagnosis #causes ... #neurology
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 ... semicircular canal BPPV ... ophthalmology #neurology
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 CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
toxo IgG • CNS PCR ... splenomegaly Other infections ... multiple lesions Infectious ... differential #diagnosis #causes ... #radiology #neurology
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Dyspnea, Fever, Hematuria ... allopurinol), Infection ... • Urinalysis (proteinuria ... anti-ANCA ab, anti-GBM ... differential #diagnosis #nephrology
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