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diagnosis differential nephrology causes hepatology hyponatremia acute aki nephrotic saag syndrome albumin comparison erythematosus glomerular gradient hematuria hypotonic injury kidney
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Syndrome Step ... hematuria and/or proteinuria ... /nephritic syndromes ... dysmorphic RBCs in urine ... #Algorithm #Nephrology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Diagnosis Table ... - Serum Ascites ... SAAG < 1.1: • Nephrotic ... syndrome • Malignancy ... Differential #Diagnosis #Table
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... hemolytic-uremic syndrome ... arbitrarily defined as urine ... urine sediment ... #nephrotic #syndrome
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... RBC casts, +/- proteinuria ... anti-phospholipid syndrome ... glomerulopathy, radiation nephritis ... , malignant HTN
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Differential Diagnosis Algorithm ... blood cells on urine ... • Hereditary nephritis ... and >3.5g/day (nephrotic ... range) proteinuria
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... Protein-poor: • Nephrotic ... Protein-rich: • Malignancy ... Differential #Diagnosis #Algorithm
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... 1.1 g/dL) - Nephrotic ... syndrome - Protein-losing ... - Urine ascites ... HIV-associated peritonitis Malignant
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... and signs • Glomerulonephritis ... • Interstitial nephritis ... • Cardio-renal syndrome ... #AKI #Workup #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Syndrome of Inappropriate ... pathology • Malignancy ... Cirrhosis • Nephrotic ... syndrome • Reduced ... Hypo-osmolar urine
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Syndrome of Inappropriate ... pathology • Malignancy ... Cirrhosis • Nephrotic ... syndrome • Reduced ... Hypo-osmolar urine
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