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diagnosis differential nephrology acute urine clinical hematuria injury kidneyinjury msk pulmonary renal syndromes workup acutekidneyinjury ana anca antibodies antibody antineutrophil
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... proteinuria, granular casts
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Acute increase in ... • Hepatorenal syndromes ... Epithelial cell casts ... polyangiitis /microscopic
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... but can be seen in ... suggestive of nephrotic sydnrome ... #Urine #Microscopy
Crystal cast in patient with AKI and TLS on Urine Microscopy Randy Luciano MD, PhD @RandyLucianoMD #TLS #Crystal
Crystal cast in ... patient with AKI ... and TLS on Urine Microscopy ... #TLS #Crystal #casts ... crystalluria #Urine #Microscopy
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Kidney Injury (AKI ... PROBLEM ~80% of AKI ... cases are caused ... Assess UA w/ microscopy ... for WBCs, RBCs, casts
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
urine sediment Microscopic ... urine sediment by microscopy ... hematuria syndrome ... hematuria: - RBC casts ... microscopic and
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... rhabdo/TLS) Causes ... Liano 1996) - ATN ... Nephrology #Diagnosis #Algorithm ... #Causes #Differential
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... dipstick, urine microscopy ... osmolarity If cause ... • Cardio-renal syndrome ... #Workup #Algorithm
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... 34t5DgJ #Urinary #Casts ... #Differential #Microscopy
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Fanconi's syndrome ... sediment - WBC/RBC casts ... polyangiitis (GPA) / microscopic ... #Causes
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