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differential management neurology hematology workup aki blood cancer clinical hematuria hyponatremia leukemia microscopy treatment urology acutekidneyinjury bloodsmear borrelia cardiology casts
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Algorithm • Confirm ... repeat testing • Acute ... nephrolithiasis • Symptoms ... (proteinuria, RBC ... if cause not identified
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)? ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Fanconi's syndrome ... RBC casts ... #Proteinuria #Nephrology ... #Algorithm #Causes
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... and Differential Diagnosis ... clinical context and signs ... #nephrology #causes
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... pain hematuria syndrome ... hematuria • Signs ... casts → Diagnostic ... #nephrology #renal
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... : • RBC Casts - ... #nephrology #interpretation ... #diagnosis
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
- Differential Diagnosis ... Leukostasis: • WBC ... Hyperuricemia • Acute ... Vomiting, decreased urine ... #differential #diagnosis
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
count cause hyperviscosity ... Dehydration • Symptoms ... - ACS, AKI, acute ... >100k, + lab signs ... #TLS #diagnosis
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... - BMP, cap, CBC ... UOP/weights - Urine ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Algorithm Red ... papilledema • Horner syndrome ... ) • Systemic symptoms ... arteritis • Acute ... #Algorithm #neurology
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