18 results
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 ... hematuria (RBC casts ... #Syndrome #Comparison ... #Diagnosis
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
- Nephritic and ... Nephrotic Syndromes ... RBC casts in urine ... may be in nephrotic ... #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
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis
 - Prerenal
 - ATN
 - AIN
 -
Acute Kidney Injury ... - Nephrotic Syndrome ... - Nephritic Syndrome ... #Urinalysis #diagnosis ... #table #comparison
Causes of Acute Kidney Injury - Differential Diagnosis Framework 
Pre-Renal
Post-Renal
Intrinsic Renal:
 • Tubules (ATN)
 • Glomerular:
Causes of Acute ... ) • Glomerular ... : Nephrotic, Nephritic ... Interstitium (AIN ... drtonydang @CMC_IM #AKI
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... Interstitial Nephritis ... sensitive) • AKI ... #Interstitial #Nephritis ... #nephrology #diagnosis
Intrinsic Renal Disease - Differential Diagnosis
Vascular:
 • Macrovascular: Renal artery occlusion, Fibromuscular disease
 • Microvascular: TTP/HUS,
HTN, Vasculitis Glomerular ... : • Nephrotic: ... Amyloidosis, MPGN • Nephritic ... Ischemia-induced: ATN ... Antibiotics, NSAIDs, Cast
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
are seen in acute ... tubulointerstitial nephritis ... tuberculosis Fatty - Nephrotic ... Differential #Microscopy #Diagnosis ... #Nephrology
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
- TTP/HUS • Glomerular ... prolonged prerenal AKI ... nephritis (AIN) ... Classification #diagnosis ... #nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
- Differential Diagnosis ... in creatinine by ... Epithelial cell casts ... Obstruction • Cast ... Interstitial Nephritis