PPT-PROTEINURIA

AND HEMATURIA ASHIK HAYAT MD DM FACP Approach to Proteinuria and Hematuria Ashik Hayat MD DM FACP Consultant Nephrology Proteinuria Marker of renal disease. proteinuria. BMJ 5 . April 2012. د. حسين محمد . جمعه . اختصاصي الامراض الباطنة . البورد العربي . كلية طب الموصل . . 2012. Dr Andrew Stein. Consultant in Renal and General Medicine, UHCW. May 2015. Aims. Anatomy. Function. Definitions. Creatinine, . eGFR. , CKD, AKI. History. Examination. Investigation. Likely Cases. Theme of Lecture: . : clinical syndromes. November 6, 2015. Which patient is sicker?. Se-. creatinine. 561 . microm/l. Previous measurement 576 . microm/l. Next measurement 542 . microm/l. Daily urine output: 1.4 . l. Se-potassium: 3.5 . Fig.1Lightmicroscopyshowingdiffuseinterstitialinflammationcomposedofmononuclearcells,polynuclearneutrophilsandpolynucleareosinophils,withtubularinjuries(tubulitisandacutetubularnecrosis)(Arrows).Nogra mg.which. . of treatment is the most effective? . ACEI . alone,ARB. alone or ACEI plus ARB . PICO. PATIENT. :. A . diabetic patient with cr:1.5,proteinuria. INTERVENTION. :. treatment. . with ACEI,ARB or ACEI+ARB. Tenofovir. . Alafenamide. . vs. . Tenofovir. . Disoproxil. . Fumarate. Combined Safety Results of . Studies GS-US-292-0104 and GS-US-292-0111. Paul Sax. 1. , Michael Saag. 2. , Michael Yin. 3. , Frank Post. Table1Laboratoryinvestigations,pathologicalvaluesareindicatedbyboldtype.Dayofadmissionpreoperativepostoperative1stpostoperativedayNormalrangeHb(g/dL)12.613.711.912.015.6g/dLThrombocytes(/nL)1571481101 Disease Urinalysis Investigations Treatment GROSS HEMATURIA Non - blood differential Heme positive – hemoglobin or myoglobin - myoglobinuria secondary to rhabdo - acute or chronic hemolysis Heme n Urinary Learning Objectives Discuss the pathophysiology of hematuria and proteinuria Discuss the most common conditions/syndromes Review evaluation after initial presentation Complete an overview of 10 | June 2013 | A reference guide for primary care I nterpreting urine dipstick tests in adults best tests | June 2013 | 11 Haematuria on dipstick Haematuria can be classified as visible, als Columbia University Medical Center. Clinical Chief, Nephrology Division. New York, New York. Jai Radhakrishnan, MD. Professor of Medicine. Division of Nephrology. Medical Director. Clinical Trials Administration Office. Kidney Specialists, Inc.. National Kidney Foundation of Central Ohio. Board of Advisors. Medical Advisory Board. Goals of this talk:. Teach providers how to evaluate CKD patients in their office, to start the diagnostic and treatment plan. . ASHIK HAYAT M.D. DM. FACP . . . Approach to Proteinuria and Hematuria. . . . Ashik Hayat MD DM FACP . Consultant Nephrology. Proteinuria. Marker of renal disease.. Urinary protein excretion in adults < 150 mg/day albumin < 30mg/day . . in Children. 가톨릭의대 . 손 . 동 . 완. Urologist). . - . Reassurance. . - . Abnormal genitourinary anatomy. . - . Trauma. . - . Stones (. nephrologist. for metabolic work-up).