LabDx

11/29/99

 

Differential Diagnosis

• Acquisition of data
• C/c (HPI)
• Intuition and sensory input
• Verbal and non-verbal clues
• Past medical and surgical Hx
• Past family and social Hx
• ROS
• Hx and physical examination
• Analysis of positive findings
• System assignment
• Differential categories
• Testing strategy
• Diagnosis
• Treatment

 

Hematuria

• Gross hematuria is defined as hematuria which is visible to the naked eye
• Initial hematuria refers to blood noted at the beginning of micturition.  Initial hematuria indicates the source of
• 0-20 years—acute glomerulonephritis acute UTI, or congenital UY anomalies w/obstruction
• 20-40 years
• 40-60 years (females)—acute UTI, stones, bladder tumor
• 60 years (males)—benign prostatic hyperplasia, bladder tumor, acute UTI
• 60 years (females)—bladder tumor, acute UTI
• T
• Trauma
• Tumor
• Toxins
• I
• Infections
• Inflammatory process
• C
• Calculi
• Cysts
• S
• Surgery
• Sickle cell ds
• Somewhere else
• Acute cystitis
• Burning during urination
• Dysuria
• Frequency
• Urgency
• Suprapubic pain
• Causes of hematuria
• Kidney stones
• Prostatic enlargement
• Bladder stone
• UT obstruction
• UT trauma
• Excessive exercise
• UTI
• Voiding Problems
• Sickle cell ds
• Kidney tumor
• Kidney ds
• Bladder tumor
• Stone formation
• Idiopathic
• Hyperparathyroidism
• Dehydration
• Immobilization
• Altered metabolism
• Cystine and uric acid stones
• Radiopaque
• Calcium oxalate
• Calcium phosphate
• Cystine (1-5% also Radiolucent)
• Radiolucent
• Uric acid (5-10%)
• Infections sontes
• Struvite (mg Amm PO4)
• Hydration is the best tx
• Ranking of Positive findings
• Order of significance
• Specific and sensitive findings
• Non-specific findings
• System assignment
• MS
• Neuro
• GU
• Endocrine
• Cardiovascular
• Respiratory
• GI
• Dermatological
• Neoplasm
• Infection
• Vascular
• Trauma
• Arthritide
• Endocrine
• Congenital
•