11 results
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
and Nephrotic Syndromes ... to GBM disruption ... Hypertension. t BUN and creatinine ... Proteinuria often ... #Nephrology #Diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... • Fanconi's syndrome ... (Positive urine ... proliferative • Anti-GBM ... #Nephrology #Differential
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... : - ANCA-positive ... • Urinalysis (proteinuria ... anti-ANCA ab, anti-GBM ... #diagnosis #nephrology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Richmond Agitation ... Propofol infusion syndrome ... , bradycardia. renal ... preventing or treating ... #CriticalCare #diagnosis
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
Creatine Kinase ... (COVID19, CMV/EBV ... Illness Myopathy (ICU ... infarction, Acute renal ... #differential #diagnosis
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... antibody, Anti-GBM ... Urine protein to creatinine ... usually low in anti-GBM ... casts, low grade proteinuria
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Cytomegalovirus; GBM ... hemolytic-uremic syndrome ... collection based on its creatinine ... #nephrotic #syndrome ... #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
 • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
RBC casts, +/- proteinuria ... immune deposits on EM ... anti-phospholipid syndrome ... Glomerulonephritis #MPGN #nephrology ... #diagnosis #renal
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
- Differential Diagnosis ... Acute increase in creatinine ... at least 50% Renal ... • Hepatorenal syndromes ... Glomerulonephritis • Anti-GBM
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... , no hematuria/proteinuria ... Criteria): • ↑ Serum creatinine ... Norepinephrine (ICU ... #Hepatorenal #Syndrome