Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
the patient have glomerular ... hematuria (RBC casts ... dysmorphic RBCs in urine ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Algorithm β€’ Confirm ... β€’ Evidence of glomerular ... β†’ Refer to Nephrology ... cystoscopy β€’ Refer to Nephrology ... if cause not identified
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 β€’ Urine Chloride
 β€’ Urine Ca/Cr ratio

Dr. Krithika
β€’ Urine Chloride ... β€’ Urine Ca/Cr ... #Bartter #Algorithm ... #nephrology #hypokalemia ... #diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... Pain/Post-op β€’ Neurologic ... Hypo-osmolar urine ... #Hyponatremia #Nephrology ... #Algorithm #Causes
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... and Differential Diagnosis ... osmolarity If cause ... β€’ Cardio-renal syndrome ... #nephrology #causes
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... hemolytic-uremic syndrome ... arbitrarily defined as urine ... #diagnosis #glomerular ... #nephrology
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
Atlas of Urine Microscopy ... - Diagnostic of ... glomerular disease ... Microscopy #Atlas #key #diagnosis ... #nephrology #casts
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 β€’ Primary
- Differential Diagnosis ... Algorithm Urine ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... #Differential #Diagnosis ... #Algorithm #causes ... potassium #low #nephrology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Red blood cell casts ... edgarvlermamd - Nephrology ... Nephritic #Comparison #Table ... #Nephrology #Diagnosis