77 results
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine ... proteinuria, RBC casts ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
Waxy and granular casts - brightfield urine microscopy

Dr. Telma Lemos @TELMALEMOS10

#Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular ... casts - brightfield ... urine microscopy ... #Urine #Microscopy ... #clinical #nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
1ml blood/liter urine ... between aorta and ... microscopic and ... Bladder (Upper and ... #urology #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
differential, urine ... dipstick, urine ... osmolarity If cause ... Differential #Diagnosis #nephrology ... #causes
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 • Primary
Diagnosis Algorithm Urine ... Water Diuresis (Urine ... /kg) • Water and ... Diagnosis #Algorithm #causes ... #nephrology
Rouleaux in urine sediment - Urine Microscopy
Rouleaux in urine sediment. As the finding in the blood
Rouleaux in urine ... sediment - Urine ... As the finding in ... smears, it is caused ... Microscopy #clinical #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... are caused by prerenal ... IMPROVEMENT If the urine ... output and creatinine ... workup #diagnosis #nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
has hematuria and ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
on Urine Microscopy ... “urine poker quads ... f), coarse (c) and ... #Urine #Microscopy ... #Clinical #Nephrology
Urine Color - Differential Diagnosis
Red Urine:
 • Medical conditions: bleeding, porphyria, factitious disorder
 • Meds: rifampin,
Diagnosis Red Urine ... coingested with rhubarb and ... : • Any cause of ... dyes typically cause ... discoloration #nephrology