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nephrology differential algorithm injury kidney kidneyinjury microscopy syndrome table workup acutekidneyinjury ain anasarca checklist classification criticalcare edema failure generalized glomerulonephritis
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic ... hematuria (RBC casts ... #Nephritic #Nephrotic ... #Syndrome #Comparison ... #Diagnosis
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
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
Syndrome and Nephritic ... Red blood cell casts ... Red blood cell casts ... #Comparison #Table ... #Nephrology #Diagnosis
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis - Prerenal - ATN - AIN -
Acute Kidney Injury ... AIN - UTI - Nephrotic ... Syndrome - Nephritic ... #Urinalysis #diagnosis ... #table #comparison
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Interstitial Nephritis ... sensitive) • AKI ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN #
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... - Differential Diagnosis ... Epithelial cell casts ... Interstitial Nephritis ... #Causes
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
• NSAlDs • AKI ... /CKD • Nephrotic ... Syndrome Increased Interstitial ... Oncotic Pressure • Nephrotic ... • Sepsis • Acute
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... tubulointerstitial nephritis ... tuberculosis Fatty - Nephrotic
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
suggestive of acute ... in a variety of acute ... suggestive of nephrotic ... suggestive of interstitial ... interpretation #diagnosis
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
tubular necrosis (causes ... ) - Acute interstitial ... nephritis (AIN) ... Classification #diagnosis ... #nephrology
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