1201 results
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
and Differential Diagnosis ... dysmorphic RBC’s, RBC ... /WBC casts, proteinuria ... neck, prostatic) #Diagnosis ... #EM #IM #Urology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... of UTI, urine WBCs ... (proteinuria, RBC ... → Refer to Nephrology ... uw_IMresidency #Hematuria #Diagnosis
Urinalysis Interpretation (UA)

Bacteria, Leukocyte esterase, WBC, Nitrite, RBC, Epithelial 
cells, pH

#Diagnosis #Urinalysis #Interpretation #Analysis
Leukocyte esterase, WBC ... , Nitrite, RBC, ... cells, pH #Diagnosis
Arthrocentesis - Synovial Fluid Analysis
Normal < 150 WBC, Colorless/Straw color, High Viscosity
Noninflammatory < 3,000 WBC, Straw/yellow
Analysis Normal < 150 WBC ... Noninflammatory < 3,000 WBC ... Inflammatory > 3,000 WBC ... purulent) > 50,000 WBC ... interpretation #diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... urine sediment - WBC ... /RBC casts ... #Proteinuria #Nephrology ... #Differential #Diagnosis
RBC Casts on Urine Microscopy

Dr. Telma Lemos @TELMALEMOS10

#RBC #Casts #Urine #Microscopy #clinical #nephrology
RBC Casts on Urine ... TELMALEMOS10 #RBC ... Microscopy #clinical #nephrology
Approach to Leukocytosis - Differential Diagnosis Algorithm

Features of hematologic malignancy:
 • Symptoms: B-symptoms, bruising/bleeding, fatigue/weakness, immunosuppression
- Differential Diagnosis ... platelets, persistent WBC ... #Differential #Diagnosis ... Algorithm #hematology #WBC
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Decreased WBCs
 - Decreased/NormaI
- Differential Diagnosis ... Algorithm Decreased WBCs ... Normal/lncreased WBCs ... Spherocytes, RBC ... #Differential #Diagnosis
Causes of Diffuse Lymphadenopathy - Differential Diagnosis Algorithm
Reactive:
 - Systemic Inflammatory
     •
- Differential Diagnosis ... (Pancytopenia, WBC ... Lymphocytic Leukemia (CBC ... #Differential #Diagnosis
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Cellular Casts: • RBC ... glomerulonephritis • WBC ... Urine #Microscopy #nephrology ... interpretation #diagnosis