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Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Urinalysis >3 RBCs ... WBCs, or urine ... (proteinuria, RBC ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology
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 ... in urine)? ... Comparison #Algorithm #Nephrology
RBC Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #RBC #Casts #Urine #Microscopy #clinical #nephrology
RBC Casts on Urine ... TELMALEMOS10 #RBC ... #Casts #Urine # ... Microscopy #clinical #nephrology
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 Dysmorphic Red Blood Cells on Electron Microscopy This eyeSCANdy image shows dysmorphic red blood cells from the
cells from the urine ... #Dysmorphic #RBCs ... pathology #hematology #nephrology
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 Lupus Nephritis - Diagnostic approach to kidney disease associated with systemic lupus erythematosus (SLE) SLE patient develops
• Nephritic urine ... sediment (dysmorphic RBCs ... , RBC casts, WBC ... algorithm #sle #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Proteinuria (Negative urine ... Proteinuria (Positive urine ... albuminuria) - Active urine ... sediment - WBC/RBC ... #Proteinuria #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria: 3 or more RBC ... /HPF spun urine ... hematuria: - RBC ... - Dysmorphic RBC ... causes #urology #nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... IMPROVEMENT If the urine ... microscopy for WBCs ... , RBCs, casts, crystals ... workup #diagnosis #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... Sediment (dysmorphic RBC ... , RBC casts, +/- ... Glomerulonephritis #MPGN #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
RBC casts in urine ... #Proteinuria #Nephrology
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