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differential acute hematuria hyponatremia management renal treatment casts kidneyinjury nephrotic proteinuria syndrome urology acutekidneyinjury ain amyloid amyloidosis arthritis biopsy bloodsmear
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... sterile pyuria, WBC ... , microscopic hematuria ... #nephrology #diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... microscopy / urinary ... • Interstitial nephritis ... #Workup #Algorithm ... #nephrology #causes
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
glomerular hematuria (RBC ... casts or dysmorphic ... RBCs in urine)? ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... WBCs, or urine ... #Algorithm #Workup ... #urology #blood
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
sediment - WBC/ ... RBC casts ... polyangiitis (GPA) / microscopic ... #Proteinuria #Nephrology ... #Algorithm #Causes
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... Algorithm Red ... blood cells on urine ... microscopy. ... #Algorithm #Causes
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- BMP, cap, CBC ... - Urinalysis/microscopy ... UOP/weights - Urine ... #Nephrology #Diagnosis ... #Algorithm #Causes
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... • 1ml blood/liter ... casts → Diagnostic ... #nephrology #renal ... #urine #blood
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... disease Red blood ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
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