95 results
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN #Algorithm
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 ... for WBCs, RBCs, casts ... etiologies due to ATN
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
rhabdo/TLS) Causes ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... Nephrology #Diagnosis #Algorithm ... #Causes #Differential
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Differential Diagnosis Algorithm ... Epithelial cell casts ... Obstruction • Cast ... Differential #Diagnosis #Algorithm ... #Causes
Causes of Acute Kidney Injury - Differential Diagnosis Framework 
Pre-Renal
Post-Renal
Intrinsic Renal:
 • Tubules (ATN)
 • Glomerular:
Causes of Acute ... : • Tubules (ATN ... drtonydang @CMC_IM #AKI ... #KidneyInjury #Causes ... Differential #Diagnosis #Algorithm
Mixed Cellular Casts on Urine Microscopy

Degenerating mixed cellular cast - brightfield, unstained - from patient with
Mixed Cellular Casts ... mixed cellular cast ... pneumococcal sepsis and AKI ... #Cellular #Casts
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... tubular necrosis (ATN ... ) • Waxy Casts
Causes of Nausea and Vomiting - Differential Algorithm #Diagnosis #EM #IM #Causes #Nausea #Vomiting #Differential #NonGI
Causes of Nausea ... - Differential Algorithm ... #Diagnosis #EM ... #IM #Causes #Nausea ... Differential #NonGI #Algorithm
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... C3/C4, Other • ATN ... Medicine @SCVMCMed #AKI ... Diagnosis #nephrology #causes ... #algorithm
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Kidney Injury (AKI ... Light chain (LC) cast ... Cisplatin • ATN ... bevacizumab (VEGFi), TKi ... Kidney #Injury #AKI