General Flashcards
(17 cards)
What are the renal syndromes?
- Proteinuria
- Haematuria
- Renal pain and dysuria
- Oliguria and polyuria
- Acute renal failure
- Chronic renal failure
- Silent
Ddx of alkaline urine on urine dipstick? (high pH)
- RTA
2. UTI with urease-producing bacteria (Proteus)
Ddx of glucose in urine dipstick
- Hyperglycaemia
- Increased GFR (pregnancy)
- Proximal tubule dysfunction (falcon syndrome)
Ddx of ketones on urine dipstick
- Alcoholic ketoacidosis
- Diabetic ketoacidosis
- Prolonged starvation
- Fasting
Ddx of haemoglobin on urine dipstick
- Hemoglobinuria (haemolysis)
- Myoglobinuria (rhabdomyolysis
- True haematuria
Cause of dysmorphic RBCs and/or RBC cast on urine microscopy?
- Glomerular bleeding (e.g. GN)
Cause if isomorphic RBC’s and no casts on urine microscopy?
- Extra-glomerular bleeding e.g. bladder cancer
Differentials of leukocytes on urine microscopy
- Inflammation:
- chronic urethritis,
- prostatitis
- interstitial nephritis
- calculi
- papillary necrosis
- renal TB
- viral infections - Infection
Differentials of eosinophils on urine microscopy
- AIN
2. Atheroembolic disease
Differentials of hyaline casts on urine microscopy
Physiologic:
- Concentrated urine
- Fever
- Exercise
Differentials of RBC casts on urine microscopy
Glomerular bleeding:
- GN
- Vasculitis
Differentials for WBC casts on urine microscopy
- Infection (pyelonephritis)
1. Inflammation (interstitial nephritis
Differentials for pigmented granular casts on urine microscopy (heme, muddy brown)
- ATN
2. Acute GN
Differentials for fatty casts on urine microscopy
- Heavy proteinuria
Differentials for uric acid crystals on urine microscopy?
- Acid urine
1. Hyperuricosuria
Differentials for calcium phosphate crystals on urine microscopy?
- Alkaline urine
Differentials for calcium oxalate crystals on urine microscopy?
- Hyperoixaluria
2. Ethylene glycol poisoning