9 results
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
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 - 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
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Acute Interstitial Nephritis ... sterile pyuria, WBC ... eosinophiluria, microscopic ... hematuria, mild ... #nephrology #diagnosis
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of nephrotic ... glomerulonephritis • WBC ... EricsMedicalLectures/ #Casts #Urine ... #Microscopy #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
e.g AEIOU ) or anuria ... Urinary obstruction, Nephrotoxic ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs,
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... , proteinuria, hematuria ... : UA, Urine protein ... or gross hematuria ... differential #diagnosis #management
Approach to Microscopic Hematuria 

Microscopic hematuria is often incidental but may be associated with urologic malignancy.
Hematuria Microscopic ... creatinine, or HTN in ... ≥ 3 RBC/TIPF on ... properly collected urine ... #management #urology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
proteinuria, hematuria ... edema, active urine ... (nephrotic-range ... lymphopenia, low PLT • Anemia ... titers > 1:80 • CBC