9 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
the patient have glomerular ... casts or dysmorphic ... RBCs in urine)? ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... of Glomerular Bleeding ... RBC casts → Diagnostic ... #urology #nephrology ... blood
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
• Evidence of glomerular ... proteinuria, RBC casts ... → Refer to Nephrology ... if cause not identified ... Workup #urology #blood
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
Glomerular Diseases ... hematuria. ... RBC casts in urine ... but in severe cases ... #Proteinuria #Nephrology
Causes of Hematuria - Differential Diagnosis Algorithm
Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... Algorithm Red blood ... cells on urine ... • Calculi Glomerular ... RBCs and/or RBC casts
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Proteinuria - ++++ Hematuria ... cell casts - Absent ... cell casts - Present ... Syndrome #Nephritic #Comparison ... #Table #Nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
content [85].2>5 red blood ... cell/white cell casts ... Nephrocalcinosis causes ... Hematuria may be ... nephrotic #syndrome #nephrology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: UA, Urine protein ... Goodpasture's cause ... reveals increasing blood ... , RBC casts, low ... hypercellular glomeruli
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
, no hematuria/proteinuria ... (no casts, protein ... , or blood) ... essential in all cases ... Syndrome #Hepatology #Nephrology