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differential algorithm causes aki acute kidney management urine blood glomerular proteinuria syndrome treatment urology classification nephrotic pulmonary syndromes workup acutekidneyinjury
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Immune mediated injury ... basement membrane disease ... : - RBC casts ... of glomerular disease ... #nephrology #renal
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Acute tubular injury ... - Diagnostic of ... renal disease ... acute tubular injury ... #nephrology #casts
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
and Differential Diagnosis ... RBC’s, RBC/WBC casts ... suggest intrinsic renal ... disease - Timing ... #EM #IM #Urology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
proteinuria, RBC casts ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... identified by UW IM
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
- Differential Diagnosis ... cells on urine microscopy ... RBCs and/or RBC casts ... disease • ... • Pauci-immune disease
Summary of characteristic abnormalities of selected glomerular diseases Light Microscopy (LM) - Immunofluorescence Microscopy (IM) - Electron
(IM) - Electron ... Microscopy (EM) ... Haematuria/nephritis ... #nephrology #pathology ... comparison #table #diagnosis
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Dyspnea, Fever, Hematuria ... Differential Diagnosis ... polyangiitis, Microscopic ... anti-ANCA ab, anti-GBM ... #nephrology
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
of acute kidney injury ... and interstitial disease ... GBM, Glomerular ... #Diagnosis #AKI ... Causes #Sites #Nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
Glomerular Diseases ... syndrome—due to GBM ... hematuria. ... #Proteinuria #Nephrology ... #Diagnosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework PRE-Renal AKI: • Hypovolemia • Congestion • Medications •
Acute Kidney Injury ... - Differential Diagnosis ... Immune-complex disease ... , Anti-GBM • Tubular ... #nephrology
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