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Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
+ clots ➔ Lower ... hematuria • Signs ... microscopic and ... 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 ... and referral to Urology ... cystoscopy • Refer to Nephrology ... #Workup #urology
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... blood cells on urine ... microscopy. ... Extraglomerular - Lower ... #Causes
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
microscopy / urinary ... clinical context and signs ... cryoglobulins, hepatitis serology ... , HIV serology, ... Differential #Diagnosis #nephrology
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
Urine Microscopy Instructions 1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy ... 1) Spin fresh urine ... power (casts may ... iMedEducation #Urine ... #nephrology #diagnosis
Gowers' Sign on Physical Exam Seen in this patient with Duchenne muscular dystrophy (DMD) #Gowers #Sign #PhysicalExam #neurology
Gowers' Sign on ... dystrophy (DMD) #Gowers ... #Sign #PhysicalExam ... #neurology #clinical
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 Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
on Urine Microscopy ... “urine poker quads ... compared to high power ... #Urine #Microscopy ... #Clinical #Nephrology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... eosinophiluria, microscopic ... hematuria, mild ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... polyangiitis (GPA) / microscopic ... #Proteinuria #Nephrology ... Differential #Diagnosis #Algorithm ... #Causes
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