Renal Clinical Sciences
,Index
pg
: :
·
Approach to haematuria 3
Clinical
approach nephrology
·
to 7
Approach Glomerular Disease 8
·
to
Approachzu prozeinuria
·
12
Nephrotoxins
Injury
& Renal 14
of
Management ESRD 16
·
Kidney
HIV the 19
of
Fraging Urogenital Tract 24
·
, Approach to Haematuria
Nephritic syndrome ,
schitosomiasis
Microscopic haematuria Gross Haematuria
2 beI
·
high power field in a
spun wine sediment
·
suspectedblo presence of real brown wrine
No 'safe' lower limit below which
significant disease be excludes colour doesn't reflect of blood loss
can
change degree
·
· Inl blood It wine -Dvisible colour
change
Approach to
patient with red brown wrine
centrifuge
sediment red supernatant red
Dipstick
-
haematuria home
Negative Positive
·
beeturia
-
myoglobia
phenazopyridine
·
·Porphyri
a
plasma colour
dear End
~
myoglobinuria Hemaglobinuria
Detection
Examination of urine sediment under is the
gold standard
microscope
·
a
·
Urine dipsticks for 1-2 rba/hpfield
Hb detects
very sensitive
- :
more false positive results
·
False -ve unusual-D-re dipsticks excludes abnormal haematuria
Actiology
of disease
Haematuria be a
symptom underlying
·
may
· cause
vary with age
· most common cause
:
-
inflammation or infection of the
prostate or bladde
Stones
-
older
-
malignancy or BPH in patients
glomerulonephritis
-
Initial Evaluation
suggest specific diagnosis
from
Glues
history/physical exam ? to
·
Glomerular
extraglomerular bleeding ?
or
·
·
Transient el Persistent Haematuria ?
History Clues
pyuriat dysuria UTI hesitancy/dribbling prostatic obstruction
·
·
- -
·
recent UTT
a postinfections GN
-
or
IgAN
·
Recent Vigorous exercise of trauma
from multiple sizes bye uncontrolled
family history of renal dx He
blehaematuria
eding d I bleeding after anticoagulation
· ·
Unilateral flank pain
radiating groin uretal obstruction
Cyclic during) menstruation endometriosis
·
·
- -
to
Persistent) recurrent flank
pain prave loin pain harmaturia syndrome Meds
causing nephritis
· .
-
,Index
pg
: :
·
Approach to haematuria 3
Clinical
approach nephrology
·
to 7
Approach Glomerular Disease 8
·
to
Approachzu prozeinuria
·
12
Nephrotoxins
Injury
& Renal 14
of
Management ESRD 16
·
Kidney
HIV the 19
of
Fraging Urogenital Tract 24
·
, Approach to Haematuria
Nephritic syndrome ,
schitosomiasis
Microscopic haematuria Gross Haematuria
2 beI
·
high power field in a
spun wine sediment
·
suspectedblo presence of real brown wrine
No 'safe' lower limit below which
significant disease be excludes colour doesn't reflect of blood loss
can
change degree
·
· Inl blood It wine -Dvisible colour
change
Approach to
patient with red brown wrine
centrifuge
sediment red supernatant red
Dipstick
-
haematuria home
Negative Positive
·
beeturia
-
myoglobia
phenazopyridine
·
·Porphyri
a
plasma colour
dear End
~
myoglobinuria Hemaglobinuria
Detection
Examination of urine sediment under is the
gold standard
microscope
·
a
·
Urine dipsticks for 1-2 rba/hpfield
Hb detects
very sensitive
- :
more false positive results
·
False -ve unusual-D-re dipsticks excludes abnormal haematuria
Actiology
of disease
Haematuria be a
symptom underlying
·
may
· cause
vary with age
· most common cause
:
-
inflammation or infection of the
prostate or bladde
Stones
-
older
-
malignancy or BPH in patients
glomerulonephritis
-
Initial Evaluation
suggest specific diagnosis
from
Glues
history/physical exam ? to
·
Glomerular
extraglomerular bleeding ?
or
·
·
Transient el Persistent Haematuria ?
History Clues
pyuriat dysuria UTI hesitancy/dribbling prostatic obstruction
·
·
- -
·
recent UTT
a postinfections GN
-
or
IgAN
·
Recent Vigorous exercise of trauma
from multiple sizes bye uncontrolled
family history of renal dx He
blehaematuria
eding d I bleeding after anticoagulation
· ·
Unilateral flank pain
radiating groin uretal obstruction
Cyclic during) menstruation endometriosis
·
·
- -
to
Persistent) recurrent flank
pain prave loin pain harmaturia syndrome Meds
causing nephritis
· .
-
