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diagnosis differential nephrology management hematuria treatment workup acute aki barre endocarditis guillain infectiousdiseases infective proteinuria table apex bcnie bloodculture cerebritis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
proteinuria, RBC casts ... for renal biopsy ... and referral to Urology ... #Workup #urology ... #blood #urine
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... hematuria: - RBC casts ... #urology #nephrology ... #renal #urine # ... blood
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... investigations depending on clinical ... cryoglobulins, hepatitis serology ... , HIV serology, ... #causes
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... breakdown of cellular casts ... heme-granular casts ... 34t5DgJ #Urinary #Casts
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Differential Diagnosis Algorithm ... • Fanconi's syndrome ... sediment - WBC/RBC casts ... HSP • Post-infectious
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... suggests calculi/infection ... RBC’s, RBC/WBC casts ... suggest intrinsic renal ... Diagnosis #EM #IM #Urology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... at least 50% Renal ... • Hepatorenal syndromes ... Epithelial cell casts ... allopurinol, PPI) • Infections
Causes of Hematuria - Differential Diagnosis Renal: - Glomerular - IgA Nephropathy, Thin basement membrane, Alport syndrome,
Causes of Hematuria ... Differential Diagnosis Renal ... membrane, Alport syndrome ... - Structural - Cysts ... #urology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... suggests extra-renal ... causes • Laxative ... • Diarrhea A urine
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... content [85].2>5 red blood ... cell/white cell casts ... extremities (ischemia, infarction ... Nephrocalcinosis causes
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