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Urinary Casts in the setting of renal disease
#Clinical #Nephro #Urine #Microscopy #Casts #Comparison #Chart #ATN #AIN
the setting of renal ... Clinical #Nephro #Urine ... Comparison #Chart #ATN
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
UOP/weights - Urine ... protein/Cr - Renal ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... and pre-renal)
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... exclusively on urine ... differences in urine ... used with normal renal ... Tubular Necrosis (ATN
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
HYPOTENSION -> renal ... renal ischemia ... Cast formation: Renal ... hour with goal urine ... hyperkalemia or ATN
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Weakness - Dark urine ... HYPOTENSION → renal ... perfusion → renal ... hour with goal urine ... hyperkalemia or ATN
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Gap - UAG and Urine ... - RenalUrine ... Renal Loss of HCO3 ... - Renal insufficiency ... Hypoaldosteronism - Renal
Causes of Acute Kidney Injury - Differential Diagnosis Framework 
Pre-Renal
Post-Renal
Intrinsic Renal:
 • Tubules (ATN)
 • Glomerular:
Framework Pre-Renal ... Post-Renal Intrinsic ... Renal: • Tubules ... (ATN) • Glomerular
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... Decreased Serum K, Urine ... Decreased Serum K, Urine ... = Hyperkalemic Renal ... uncimchiefs #RTA #Renal
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... differentiate between pre-renal ... and intrinsic renal ... Urine eosinophils
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid >4 • Urine ... Na <20: Extra-renal ... losses • Urine ... Na >30: Renal losses ... Na > 30: Renal