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differential management hyponatremia acute kidney sodium classification injury secondary glomerular proteinuria blood casts glomerulonephritis hematuria hypertension hypokalemia kidneyinjury low microscopy
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
/nephritic syndromes ... hematuria (RBC casts ... dysmorphic RBCs in urine ... #Algorithm #Nephrology ... #Diagnosis
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
Nephrotic Syndromes ... Nephritic syndrome—due ... RBC casts in urine ... #Proteinuria #Nephrology ... #Diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... and Differential Diagnosis ... • Interstitial nephritis ... #Workup #Algorithm ... #nephrology #causes
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... (Increased renal ... sodium retention, Urine ... • NSAlDs • AKI ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... GI losses • Renal ... GFR, AKI/CRF Hormonal ... Hypo-osmolar urine ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... GI losses • Renal ... GFR, AKI/CRF Hormonal ... Hypo-osmolar urine ... #Algorithm #Causes
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
UOP/weights - Urine ... rhabdo/TLS) Causes ... disease — 21% ... #Nephrology #Diagnosis ... #Algorithm #Causes
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Disease Associations ... and concentrated urine ... , renal tuberculosis ... syndrome ("Maltese ... Differential #Microscopy #Diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... → Refer to Nephrology ... for renal biopsy ... #Algorithm #Workup
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
failure, Cirrhosis, Nephrotic ... syndrome • Urine ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
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