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diagnosis nephrology differential algorithm causes renal classification glomerulonephritis hematuria lupus management nephritic nephritis syndrome treatment acute aki blood diseases rheumatology
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic ... hematuria and/or proteinuria ... the patient have glomerular ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
Glomerular Diseases ... RBC casts in urine ... Proteinuria often ... diabetes)) #Glomerular ... #Nephrology #Diagnosis
Glomerular Diseases - Spectrum - Insidious vs Acute - Nephritic (hypertension, hematuria, renal failure) vs Nephrotic
Glomerular Diseases ... Insidious vs Acute - Nephritic ... renal failure) vs Nephrotic ... (Heavy proteinuria ... differential #diagnosis #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... • Evidence of glomerular ... bleeding (proteinuria ... Diagnosis #Algorithm #Workup ... #urine
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
disease 24-hour urine ... Serum or urine for ... #testing #workup ... glomerulonephritis #nephrotic ... #nephritic #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
arbitrarily defined as urine ... clusters because nephritic ... urine sediment ... #proteinuria #nephrotic ... #syndrome #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
disease 1) 24-hour urine ... Serum or urine for ... #workup #diagnosis ... initial #testing #nephrology ... #nephrotic #nephritis
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
(Negative urine ... • Drugs Glomerular ... urine dip = albuminuria ... ) - Active urine ... #Nephrology #Differential
Albuminuria (Grades) and Risk for CKD Normal to mildly increased albuminuria: - Albumin excretion rate: < 30
Nephrotic-range ... Urine total protein ... The presence of nephrotic ... is defined as nephrotic ... classification #CKD #nephrology
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
blood cells on urine ... • Calculi Glomerular ... • Hereditary nephritis ... and >3.5g/day (nephrotic ... range) proteinuria
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