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Urinary Casts in the setting of renal disease #Clinical #Nephro #Urine #Microscopy #Casts #Comparison #Chart #ATN #AIN
Comparison #Chart #ATN ... #AIN #Pyelonephritis
Muddy Brown Casts in ATN #Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Brown Casts in ATN ... MuddyBrownCasts #ATN
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis - Prerenal - ATN - AIN -
- Prerenal - ATN ... - AIN - UTI
Causes of Acute Kidney Injury - Differential Diagnosis Framework Pre-Renal Post-Renal Intrinsic Renal: • Tubules (ATN) • Glomerular:
: • Tubules (ATN ... Interstitium (AIN
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Liano 1996) - ATN ... CKD— 13% (mostly ATN
Fractional Excretion of Sodium - FENa Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
> 2% suggests ATN
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
C3/C4, Other • ATN ... Pigment, Protein) • AIN
Intrinsic Renal Disease - Differential Diagnosis Vascular: • Macrovascular: Renal artery occlusion, Fibromuscular disease • Microvascular: TTP/HUS,
Athero-embolic, HTN ... Ischemia-induced: ATN
Urine Specific Gravity - Interpretation Specific Gravity = Density of urine / Density of water SG close to
resistance to ADH) • ATN ... SG fixed at ~1.010
Hypomagnesemia - Differential Diagnosis Renal Causes of Hypomagnesemia - Familial: Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Diuretic phase of ATN
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