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diagnosis nephrology differential algorithm causes management treatment urology blood gitelman glomerulonephritis hematuria hyperkalemia nephrotic sodium syndrome testing acidosis acute aki
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... • Evidence of glomerular ... for renal biopsy ... Diagnosis #Algorithm #Workup ... #urine
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
or dipstick) Glomerular ... • Causes of Glomerular ... Suggestive of glomerular ... Diagnosis #causes #urology ... #nephrology #renal
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... red - cells Non-glomerular ... also be seen if urine ... Diagnostic of glomerular ... key #diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... differential, urine ... dipstick, urine ... blood culture, urine ... #Injury #AKI #Workup
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Framework and Workup ... - Renal • Urine ... Renal Loss of HCO3 ... Differential #Diagnosis #Workup ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) Check Urine ... mOsm/kg - Implies renal ... , Ingestion Renal ... #Algorithm #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... disease 24-hour urine ... Serum or urine for ... #testing #workup ... nephrotic #nephritic #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... leukemia Measure Urine ... FEPO4 ≥ 5% - Renal ... Diagnosis #Framework #Workup ... #phosphate #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... formation along glomerular ... Glomerulonephritis #MPGN #nephrology ... #diagnosis #renal
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... or Ineffective (UNa ... ≥100): SIADH, Renal ... solute intake, UNa ... table #sodium #nephrology
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