Urine diagnosis symptoms nephrology classification syndrome comparison glomerular management

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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step

Nephritic vs Nephrotic Syndrome ... the patient have glomerular ... dysmorphic RBCs in urine ... #Comparison #Algorithm ... #Nephrology #Diagnosis

Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome:
- Acute poststreptococcal
glomerulonephritis
- Rapidly progressive

Glomerular Diseases ... glomerulonephritis #Glomerular ... #Classification ... #Nephrology #Diagnosis ... Recommended Text: Nephrology

Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption.
Hypertension. t BUN and creatinine.

Glomerular Diseases ... RBC casts in urine ... #Classification ... #Proteinuria #Nephrology ... #Diagnosis

Nephrotic vs Nephritic syndromes - Spectrum of Glomerular Diseases

#Nephritic #Nephrotic #Syndromes #Spectrum #Classification #Glomerular #Diseases

Nephrotic vs Nephritic syndromes ... - Spectrum of Glomerular ... #Spectrum #Classification ... #Glomerular #Diseases ... #Nephrology #Diagnosis

Hematuria Workup and Diagnosis Algorithm
• Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing

Hematuria Workup and Diagnosis ... nephrolithiasis • Symptoms ... • Evidence of glomerular ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology

Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
• 1ml blood/liter urine can induce color change

- Differential Diagnosis ... disease - Alport syndrome ... pain hematuria syndrome ... - RBC casts → Diagnostic ... causes #urology #nephrology

Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight

- Differential Diagnosis ... • Fanconi's syndrome ... • Drugs Glomerular ... #Proteinuria #Nephrology ... #Differential #Diagnosis

Acute Kidney Injury - Classification
Prerenal:
• Dehydration
• Heart failure (a.k.a. cardiorenal syndrome)
• Liver failure

Kidney Injury - Classification ... a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... - TTP/HUS • Glomerular ... #diagnosis #nephrology

Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV

hemolytic-uremic syndrome ... arbitrarily defined as urine ... because nephritic urine ... #nephrotic #syndrome ... #nephrology

Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
• Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)

GN • Active Urine ... formation along glomerular ... anti-phospholipid syndrome ... Glomerulonephritis #MPGN #nephrology ... #diagnosis #renal

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