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diagnosis differential management nephrology treatment acute hematology microscopy urine clinical endocrinology injury hepatology syndrome chronic hyponatremia kidney adrenal dermatology hematuria
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
Differential Diagnosis of Acute Kidney Injury #Diagnosis #Nephrology #AKI #Acute #KidneyInjury #Causes #Differential #Workup #Algorithm #Ddxof
Diagnosis #Nephrology #AKI ... #KidneyInjury #Causes ... #Differential #Workup ... #Algorithm #Ddxof
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Brown” Casts on ... coarse (c) and muddy ... of mb granular casts ... Granular #MuddyBrown #Casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Kidney Injury (AKI ... cases are caused ... CONSIDER INTRINSIC CAUSES ... for WBCs, RBCs, casts ... KidneyInjury #simplified #workup
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
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Differential Diagnosis Algorithm ... Epithelial cell casts ... Obstruction • Cast ... Differential #Diagnosis #Algorithm
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... • "Muddy Brown ... " Casts - Strongly
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... Casts three ways ... Varghese @vipvargh #Muddy ... Brown #Granular #Casts
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... Workup Algorithm ... osmolarity If cause ... #Workup #Algorithm ... Diagnosis #nephrology #causes
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/waxy mixed casts ... light granular/muddy ... granular, C and D: muddy ... Granular #MuddyBrown #Casts
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