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differential algorithm hematuria hyponatremia workup casts microscopy renal acute aki blood classification glomerulonephritis injury kidney nephritis proteinuria syndrome table testing
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic ... the patient have glomerular ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology ... #Diagnosis
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
- Nephritic and ... Nephrotic Syndromes ... RBC casts in urine ... #Proteinuria #Nephrology ... #Diagnosis
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
- Differential Diagnosis ... blood cells on urine ... • Hereditary nephritis ... and >3.5g/day (nephrotic ... #Differential #Diagnosis
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
clusters because nephritic ... urine sediment ... Nephrocalcinosis causes ... #nephrotic #syndrome ... #nephrology
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... tubulointerstitial nephritis ... tuberculosis Fatty - Nephrotic ... Differential #Microscopy #Diagnosis ... #Nephrology
Lupus Nephritis - Diagnostic approach to kidney disease associated with systemic lupus erythematosus (SLE) SLE patient develops
Lupus Nephritis ... > 500 mg/d • Nephritic ... urine sediment ... 5%) #Lupus #Nephritis ... #sle #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... • Evidence of glomerular ... → Refer to Nephrology ... and referral to Urology ... if cause not identified
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
disease 24-hour urine ... infections are common causes ... testing #workup #diagnosis ... glomerulonephritis #nephrotic ... #nephritic #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... → Diagnostic of ... #Differential #Diagnosis ... #causes #urology ... #nephrology #renal
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... - Diagnostic of ... brown cast” - Necrotic ... Microscopy #Atlas #key #diagnosis ... #nephrology #casts
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