63 results
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
RBC’s, RBC/WBC casts ... suggest intrinsic renal ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
proteinuria, RBC casts ... → Refer to Nephrology ... for renal biopsy ... if cause not identified ... by UW IM Residency
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
symptoms (HA, nausea ... cardiac, liver, renal ... history #Diagnosis #EM ... #IM #Nephro #Hyponatremia
A good approach when dealing with hypotension at the bedside includes using the following systematic four
Heart Rate 2. ... Resistance #Diagnosis #Management ... #EM #IM #PCC #Hypotensive
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
Pathyophysiology ... hyperglycemic crises ... seizure) #Pathophys #EM ... #IM #Endo #DKA
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... Summary Causes ... • Hypocalcemia/Late ... • HAGMA • Late ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Diagnosis and Management ... Dermatomyositis) AKI - Pathophysiology ... Iinitial rate: 1 ... Differential #Diagnosis #Management ... #Summary #causes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
intake, Diuretics (late ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology ... #Causes
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Distal #Diagnosis #Management ... #Nephrology #Causes
NSAID vs ACEI/ARB effects on the Kidneys

Remember that NSAIDs and ACEI/ARB therapy have opposing effects on
NSAIDs cause vasoconstriction ... use shouldn't cause ... ACEIARB #Effects #Nephrology ... #Renal #Pathophysiology