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diagnosis differential causes management hepatology nephrology cardiology clinical hematology microscopy urine workup ascites diarrhea injury aki anemia hematuria kidney syndrome
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... Cirrhosis, Late Budd-Chiari ... pericarditis, Early Budd-Chiari ... differential #diagnosis #algorithm
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Acellular Casts ... • Hyaline Casts ... • "Muddy Brown ... suggestive of acute ... in a variety of acute
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/waxy mixed casts ... surrounding white blood ... light granular/muddy ... granular, C and D: muddy ... Granular #MuddyBrown #Casts
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... "Muddy-brown" heme-granular ... in acute tubular ... disease Red blood ... Glomerulonephritis White blood
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
tubular cells - Acute ... • White cell casts ... renal disease • “Muddy ... brown cast” - Necrotic ... protein indicating acute
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG ... insufficiency - Budd-Chiari ... fibrosis - Acute ... Hypoalbuminemia (SAAG ... - Myxedema (SAAG
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... to Acute Interstitial ... sterile pyuria, WBC casts ... MatthewHoMD #Acute ... Nephritis #AIN #Algorithm
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Acute Kidney Injury ... Glomerular (red blood ... eosinophils/white blood ... cell casts on UA ... appropriate) #Acute
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
Acute Diarrhea - Differential Diagnosis Algorithm • Ischemic: Small Bowel vs Large Bowel • Infectious: Diarrhea-Predominant
Acute Diarrhea - ... Differential Diagnosis Algorithm ... Inflammatory: Bloody ... vs Non-Bloody ... osmotic diarrhea) #Acute
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