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workup algorithm blood causes differential glomerulonephritis hematuria hyperkalemia nephrotic testing urology disease gitelman initial intercellularshift k management membranoproliferative mpgn nephritic
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... • Evidence of glomerular ... bleeding (proteinuria ... → Refer to Nephrology ... for renal biopsy
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... - RBC casts → Diagnostic ... - Proteinuria ... causes #urology #nephrology ... #renal #urine #
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
disease 24-hour urine ... Spot PC (protein ... Serum or urine for ... testing #workup #diagnosis ... nephrotic #nephritic #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
disease 1) 24-hour urine ... Spot PC (protein ... Serum or urine for ... #workup #diagnosis ... initial #testing #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... RBC casts, +/- proteinuria ... formation along glomerular ... Glomerulonephritis #MPGN #nephrology ... #diagnosis #renal
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Antibiotics (Bactrim, PCN ... tourniquet / IVF line draw ... lysis) ± Urine ... Treatment #potassium #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... hypotension) Decreased Glomerular ... Creatinine • Chronic renal ... IntercellularShift #Nephrology
Gitelman Syndrome - Diagnosis and Workup Blood Work: - Hypokalemia - Hypomagnesemia - Metabolic Alkalosis - Elevated
Gitelman Syndrome - Diagnosis ... Blood Work: - Hypokalemia ... Elevated Renin Urine ... Fractional excretion of Cl ... #Workup #nephrology
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