50 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
glomerular hematuria (RBC ... or dysmorphic RBCs ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Dysmorphic Red Blood Cells on Electron Microscopy
This eyeSCANdy image shows dysmorphic red blood cells from the
#Dysmorphic #RBCs ... ElectronMicroscopy #SEM ... #clinical #pathology ... #hematology #nephrology
Kidney Biopsy - Diagnosis Algorithms
1) Normal Glomerulus by LM
2) Glomerular Crescents
3) Double Contours of GBM
4) Endocapillary
Biopsy - Diagnosis Algorithms ... renal #Diagnosis #Algorithm ... #nephrology #pathology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... Urinalysis >3 RBCs ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... Hematuria #Diagnosis #Algorithm
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... dysmorphic RBC’s, RBC ... /WBC casts, proteinuria ... prostatic) #Diagnosis #EM ... #Differential #Algorithm
Plasmodium - Identification Algorithm
 • P. falciparum: RINGS AND GAMETOCYTES PREDOMINATE, Small delicate rings, <1/3 size
Identification Algorithm ... rings, <1/3 size RBC ... Multiple rings/RBC ... Identification #Algorithm ... #pathology #smear
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... urine sediment - WBC ... /RBC casts ... #Proteinuria #Nephrology ... Differential #Diagnosis #Algorithm
This image shows acellular scanning EM with a fibrocellular crescent with entrapped RBCs. The glomerulus is
with entrapped RBCs ... fibrocellular #crescent #RBCs ... ElectronMicroscopy #SEM ... #clinical #nephrology ... #pathology
Calcium Oxalate Crystals on Electron Microscopy
Today’s image shows calcium oxalate crystals in a urinary sediment under
ElectronMicroscopy #SEM ... #clinical #nephrology ... #pathology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis