52 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic ... dysmorphic RBCs in urine ... #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Spectrum of Glomerular Diseases
Nephrotic - Mechanism:
 • Injury to podocytes
 • Changed architecture: Scanning. Deposition of
of Glomerular Diseases ... #Glomerular #Diseases ... differential #spectrum #diagnosis ... #nephrology #nephritic ... #nephrotic #comparison
Glomerular Diseases - Spectrum
 - Insidious vs Acute
 - Nephritic (hypertension, hematuria, renal failure) vs Nephrotic
Glomerular Diseases ... hypertension, hematuria, renal ... failure) vs Nephrotic ... #differential #diagnosis ... #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
Glomerular Diseases ... RBC casts in urine ... #Glomerular #Diseases ... #Proteinuria #Nephrology ... #Diagnosis
Intrinsic Renal Disease - Differential Diagnosis
Vascular:
 • Macrovascular: Renal artery occlusion, Fibromuscular disease
 • Microvascular: TTP/HUS,
Diagnosis Vascular ... Glomerular: • Nephrotic ... Amyloidosis, MPGN • Nephritic ... #Disease #nephrology ... #differential #diagnosis
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... , renal tuberculosis ... edgarvlermamd - Nephrology ... Differential #Microscopy #Diagnosis ... #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... GI losses • Renal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Na >30: Renal losses ... failure, Cirrhosis, Nephrotic ... Hyponatremia #algorithm #diagnosis ... #sodium #low #nephrology
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
differentiate between pre-renal ... and intrinsic renal ... performance for diagnosing ... tubular interstitial nephritis ... AcuteKidneyInjury #Nephrology