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differential hyponatremia syndrome glomerular hematuria nephritic nephritis sodium table urology acute ain biopsy blood ddxof diseases glomerulonephritis indications interstitial low
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria and/or proteinuria ... hematuria (RBC casts ... #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
- Normal/low Proteinuria ... pressure - Raised Proteinuria ... edgarvlermamd - Nephrology ... #Comparison #Table ... #Nephrology #Diagnosis
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... Acute Interstitial Nephritis ... , mild tubular proteinuria ... #AIN #Algorithm ... #nephrology #diagnosis
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... Diagnosis of Macroscopic ... RBC’s, RBC/WBC casts ... , proteinuria suggest ... #EM #IM #Urology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... heart disease, ear ... Nephrocalcinosis causes ... #proteinuria #nephrotic ... #syndrome #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... Algorithm • Confirm ... glomerular bleeding (proteinuria ... if cause not identified ... by UW IM Residency
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
, +/- proteinuria ... immune deposits on EM ... glomerulopathy, radiation nephritis ... Glomerulonephritis #MPGN #nephrology ... #diagnosis #renal
Lupus Nephritis - Diagnostic approach to kidney disease associated with systemic lupus erythematosus (SLE) SLE patient develops
- Diagnostic approach ... develops new: • Proteinuria ... with evidence of proteinuria ... #diagnosis #algorithm ... #sle #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Algorithm ADH ... Independent: • Tea ... liver failure, nephrotic ... #Algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... CHF, cirrhosis, nephrotic ... Potomania - Tea ... #Algorithm #diagnosis ... #nephrology #sodium
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