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diagnosis differential management nephrology causes microscopy urine classification hematology hematuria infectiousdiseases kidney lactate product reactions syndrome aki atlas bloodsmear borrelia
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
tubular cells - Acute ... tubular injury ... - Renal infection ... renal disease ... tubular injury
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Kidney Injury ( ... • Sepsis • Blood ... • Inflammatory disease ... • Infection ... #Kidney #Injury
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Disease Associations ... are seen in acute ... Red blood cell ... Urinary tract infections ... tubulointerstitial nephritis, renal
Acute Kidney Injury (AKI) in Patients with Cancer Cancer Related • Hypercalcemia • Intravenous contrast •
Acute Kidney Injury ... Light chain (LC) cast ... LC deposition disease ... gammopathy of renal ... malignancies Treatment
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
urine • 1ml blood ... Immune mediated injury ... hematuria: - RBC casts ... #nephrology #renal ... #urine #blood
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Statins - ETOH - Infection ... UA positive for blood ... Cast formation: ... disease 2. ... #nephrology
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
proteinuria as a disease ... and parasites (infections ... • Urinary casts ... used with normal renal ... Acute Kidney Injury
Fusarium Infections Acquired through: 1. Inhalation of airborne conidia > germinates > blood > disseminated 2. Trauma (implantation with
> germinates > blood ... BCx+ in -40% of ... cases, median -3d ... : • Optimal treatment ... on the type of injury
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
injury), Coags ... confirm DAH, r/o infection ... reveals increasing blood ... hematuria, RBC casts ... diagnosis #management #treatment
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework LDH is a cytoplasmic enzyme present in tissues throughout
concentrations in: RBCs ... deficiency of red blood ... : • Early acute ... hepatitis • Acute ... • Toxins • Infection
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