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diagnosis differential algorithm renal workup blood treatment urology acute aki casts causes kidney nephritic nephrotic rheumatology syndromes acutekidneyinjury anesthesia anesthesiology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Microscopic ... sediment by microscopy ... : • Flank pain ... + gross or microscopic ... causes #urology #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... unilateral flank pain ... WBCs, or urine ... → Refer to Nephrology ... cystoscopy • Refer to 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 ... have glomerular hematuria ... (RBC casts or dysmorphic ... RBCs in urine)? ... Comparison #Algorithm #Nephrology
Glitter Cells on Urine Microscopy Glitter cells in the urine are viable and pale staining WBCs with
Microscopy Glitter ... cells in the urine ... pale staining WBCs ... #Microscopy #clinical ... #nephrology
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 Diagnostic Criteria for Scleroderma Renal Crisis 1. New onset blood pressure >150/85 mm Hg OR increase
Microangiopathic hemolytic anemia ... examination - Microscopic ... hematuria on urine ... blood cells on urine ... microscopy
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
When to suspect AIN ... sterile pyuria, WBC ... eosinophiluria, microscopic ... hematuria, mild ... #Algorithm #nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... Cellular Casts: • RBC ... glomerulonephritis • WBC ... EricsMedicalLectures/ #Casts #Urine ... #Microscopy #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
hematuria. ... RBC casts in urine ... Proteinuria often in ... 3.5 g/day) but in ... #Proteinuria #Nephrology
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
Hematuria in Post-Renal ... TheIDtrivia #Hematuria ... kidney #blood #urine ... #management #treatment ... #nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
e.g AEIOU ) or anuria ... require urgent nephrology ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs,
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