69 results
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
due to lung disease ... pulmonary disease ... , Gaucher disease ... mediastinitis, chronic renal ... Classification #Diagnosis
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
- Differential Diagnosis ... disease - CKD, ... • Renovascular disease ... Cushing syndrome or disease ... #Differential #Diagnosis
Glomerular Diseases - Spectrum
 - Insidious vs Acute
 - Nephritic (hypertension, hematuria, renal failure) vs Nephrotic
Glomerular Diseases ... - Nephritic (hypertension ... , hematuria, renal ... #Glomerular #Diseases ... #nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
cells - Glomerular disease ... of glomerular disease ... disease • Granular ... disease • “Muddy ... #nephrology #casts
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
- Differential Diagnosis ... DM (visit 2), Diagnosis ... multi-drug resistance) Renal ... Parenchymal Diseases ... HTN #Secondary #Nephrology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
to chronic lung disease ... • Hypoxia • Pulmonary ... hypertension ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... Vasculitis - Anti-GBM Disease ... Vasculitis, Behcet's Disease ... , mitral valve disease ... , Malignant hypertension
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Chronic Kidney Disease ... of Renovascular disease ... Polycystic kidney disease ... Medullary cystic disease ... Other small vessel disease
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Recent hypo/hypertension ... UOP/weights - Urine ... disease — 21% ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Peripheral edema, Disease-specific ... for Pulmonary Renal ... vasculitis, Behcet disease ... Goodpasture's Disease