9 results
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
: Red/Dark urine ... 1ml blood/liter urine ... + clots ➔ Lower ... Bladder (Upper and Lower ... #urology #nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified ... #Diagnosis #Algorithm
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
the patient has hematuria ... (RBC casts or dysmorphic ... RBCs in urine)? ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Causes of Hematuria - Differential Diagnosis Algorithm
Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... Differential Diagnosis Algorithm ... blood cells on urine ... Extraglomerular - Lower ... #Causes
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
diagnosis with direct urine ... Failure to acidify urine ... secretion Cannot lower ... Distal #Diagnosis #Management ... #Nephrology #Causes
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... blood cells/high-power ... Nephrocalcinosis causes ... Hematuria may be ... nephrotic #syndrome #nephrology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... PO TID • With lower ... Saline: • If Urine ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology
Gowers' Sign on Physical Exam

Caused by proximal muscle weakness typically seen in muscular dystrophy

#Gowers #Sign #PhysicalExam
Gowers' Sign on ... Physical Exam Caused ... #Sign #PhysicalExam ... #neurology #clinical ... #video #pediatrics
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treat underlying cause ... PO TID • With lower ... 0.9% NS • If Urine ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology