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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic ... the patient have glomerular ... #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Spectrum of Glomerular Diseases
Nephrotic - Mechanism:
 • Injury to podocytes
 • Changed architecture: Scanning. Deposition of
Diseases Nephrotic ... other elements Nephritic ... differential #spectrum #diagnosis ... #nephrology #nephritic ... #nephrotic #comparison
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Differentiation Between Nephrotic ... Syndrome and Nephritic ... Syndrome == Nephrotic ... #Comparison #Table ... #Nephrology #Diagnosis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential Diagnosis ... Table - Serum Ascites ... Albumin Gradient ... < 1.1: • Nephrotic ... #Table #Serum #
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... according to the serum ... ascites albumin gradient ... Biliary leak, Nephrotic ... #differential #diagnosis
Summary of characteristic abnormalities of selected glomerular diseases
Light Microscopy (LM) - Immunofluorescence Microscopy (IM) - Electron
EM) Haematuria/nephritis ... • Lupus ISN/RPS ... Haemolytic-uraemic syndrome Nephrotic ... #diseases #nephrology ... #table #diagnosis
Rapidly Progressive Glomerulonephritis (RPGN) 
 - Loss of kidney function over a short period of tirne
with evidence of glomerular ... IgA nephropathy, lupus ... nephritis, cryoglobulinemia ... #Differential #Diagnosis ... #Nephrology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... - Differential Diagnosis ... without cirrhosis - Nephrotic ... #Serum #Ascites
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
expensive Serum ... Serum or urine for ... testing #workup #diagnosis ... glomerulonephritis #nephrotic ... #nephritic #nephrology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
expensive 2) Serum ... Serum or urine for ... #workup #diagnosis ... initial #testing #nephrology ... #nephrotic #nephritis