16 results
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
RBC casts in urine ... Proteinuria often ... severe cases ... may be in nephrotic ... #Classification
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic ... hematuria and/or proteinuria ... hematuria (RBC casts ... dysmorphic RBCs in ... Syndrome #Comparison #Algorithm
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... Acute Interstitial Nephritis ... , mild tubular proteinuria ... #Interstitial #Nephritis ... #AIN #Algorithm
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
infections are common causes ... cryoglobulinemias (types ... glomerular #testing #workup ... glomerulonephritis #nephrotic ... #nephritic #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... clusters because nephritic ... Nephrocalcinosis causes ... #Algorithm #differential ... #nephrotic #syndrome
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... unilateral flank pain ... glomerular bleeding (proteinuria ... #Workup #urology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
infections are common causes ... cryoglobulinemias (types ... glomerular #disease #workup ... testing #nephrology #nephrotic ... #nephritis
Rapidly Progressive Glomerulonephritis (RPGN) 
 - Loss of kidney function over a short period of tirne
disease (hematuria, proteinuria ... proliferation in ... nephropathy, lupus nephritis ... autoAb against type ... Glomerulonephritis #RPGN #Classification
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
syndrome as a cause ... obstruction, nephrotic ... , particularly in ... ascites #diagnosis #workup ... #algorithm #differential
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... , no hematuria/proteinuria ... Classification: ... HRS-AKI (formerly Type ... HRS-Non-AKI (formerly Type