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diagnosis differential nephrology management algorithm clinical microscopy casts workup renal hyponatremia pathophysiology syndrome toxicology infectiousdiseases urinary urology criticalcare discoloration endocrinology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
: Red/Dark urine ... 1ml blood/liter urine ... more RBC/HPF spun urine ... examination of urine ... RBC - Brown urine
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... * Green Urine: ... Syndrome - UTI caused ... : • Hematuria, ... : • Hematuria,
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Symptoms of UTI, urine ... WBCs, or urine ... → Urine culture ... Nephrology if cause ... urology #blood #urine
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)?
Abnormally Colored Urine - Differential Diagnosis Framework Red: - Hematuria, Hemoglobinuria, Myoglobinuria - Beets, Rhubarb, Blackberries, Artificial
Abnormally Colored Urine ... Framework Red: - Hematuria ... Purple: - Purple urine ... Ann Marie Kumfer ... AnnKumfer #Colored #Urine
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... blood cells on urine ... RBCs and/or RBC casts ... ) - Isolated Hematuria ... Diagnosis #Algorithm #Causes
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... exclusively on urine ... • Urinary casts ... #UNa #casts #glucosuria ... #hematuria
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
hematuria. ... RBC casts in urine ... but in severe cases
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
Hematuria in Post-Renal ... TheIDtrivia #Hematuria ... kidney #blood #urine ... #management #treatment
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Proteinuria (Negative urine ... Proteinuria (Positive urine ... albuminuria) - Active urine ... Post-infectious GN - Bland urine
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