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differential nephrology acute aki algorithm clinical urine anca antibodies antibody antineutrophil antinuclear atlas blood bloodsmear borrelia diseases dislocation fever hematuria
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• Red cell casts ... • White cell casts ... • Hyaline casts ... - Any type of renal ... #nephrology #casts
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... Immune mediated injury ... hematuria: - RBC casts ... microscopic and ... #causes #urology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Differential Diagnosis ... dipstick, urine microscopy ... osmolarity If cause ... syndrome: troponin
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Kidney Injury (AKI ... • Hepatorenal syndromes ... Epithelial cell casts ... polyangiitis /microscopic
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
ANA (Antinuclear Antibody) and ANCA (Antineutrophil cytoplasmic antibodies) • Systemic lupus erythematosus 1. Anti-dsDNA
Anti-dsDNA (in 70% of cases ... seen in 30—70% of cases ... • Sjögren syndrome ... Vasculitis: • Microscopic ... Antineutrophil #antibodies #diagnosis
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... injury), Coags ... Goodpasture's cause ... : • U/A: microscopic ... hematuria, RBC casts
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Northeast Africa with cases ... Several cases have ... Syndrome: 3d of ... Specific organ injury ... recurrentis #BloodSmear #microscopy
Posterior Knee Dislocation Injury Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
DISLOCATION: ~25% cases ... Compartment syndrome ... consider compartment syndrome ... stress--->>>> LINK ... msk #clinical #video
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 Fever After International Travel Infectious Disease: • Endemic in either the destination or home region Viral Syndromes: Arboviral infections, a
region Viral Syndromes ... renal dysfunction ... falciparum: Most cases ... renal function ... dipstick test, microscopic
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