29 results
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... sodium low, uric ... uric acid low in ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... Confirm hematuria → Urinalysis ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Osmolarity 2) Urine ... Sodium 4) Serum ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
sediment Microscopic ... sediment by microscopy ... (Urinalysis or ... microscopic and ... #urology #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Hypernatremia #Nephrology ... #Causes
Urine Microscopy Instructions - How to spin urine

1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... Instructions - How ... the better, as casts ... #Urine #Microscopy ... #Nephrology #Preparation
Urine Color - Differential Diagnosis
Red Urine:
 • Medical conditions: bleeding, porphyria, factitious disorder
 • Meds: rifampin,
: • Any cause of ... Pseudomonas • Meds ... dyes typically cause ... Differential #Diagnosis #urinalysis ... discoloration #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid >4 • Urine ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
on Urine Microscopy ... “urine poker quads ... appreciated at low ... #Urine #Microscopy ... #Clinical #Nephrology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
CBC w/ diff - Urinalysis ... /microscopy/UOP/ ... weights - Urine ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm