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diagnosis differential management algorithm aki renal workup casts hematology hematuria hepatology infectiousdiseases kidney microscopy product reactions syndrome urology abg acid
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
repeat testing • Acute ... WBCs, or urine ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... #blood #urine
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Kidney Injury ( ... require urgent nephrology ... IMPROVEMENT If the urine ... , RBCs, casts, crystals ... workup #diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Investigations: full blood ... osmolarity If cause ... Differential #Diagnosis #nephrology ... #causes
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
tubular cells - Acute ... tubular injury ... protein indicating acute ... tubular injury ... key #diagnosis #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... Immune mediated injury ... of glomerular disease ... #urology #nephrology ... blood
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... Kidney Injury ( ... • Sepsis • Blood ... • Inflammatory disease ... #Differential #Nephrology
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Disease Associations ... and concentrated urine ... are seen in acute ... edgarvlermamd - Nephrology ... Microscopy #Diagnosis #Nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... Injury (AKI) ... UOP/weights - Urine ... - Pre-renal disease ... AcuteKidneyInjury #AKI #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Weakness - Dark urine ... UA positive for blood ... disease 2. ... #treatment #nephrology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... quantify renal injury ... : UA, Urine protein ... reveals increasing blood ... diagnosis #management #treatment
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