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Urine Microscopy Guide

#Diagnosis #Path #Nephrology #Urine #Microscopy #Chart #Guide #atlas
Urine Microscopy ... Guide #Diagnosis #Path ... Nephrology #Urine #Microscopy
Adrenal Insufficiency - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Insufficiency - Differential ... genetic disorder • CAH ... apoplexy • Isolated ACTH-deficiency ... Insufficiency #Differential
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
) - Simplified Differential ... Endogenous • ACTH-dependent ... : - ACTH-secreting ... Disease) - ACTH-secreting ... Cushings #syndrome #Differential
These are oxalate crystals, which look like little envelopes (or tetrahedrons, depending upon your point of
#Clinical #Path ... Nephro #Urine #Microscopy
A normal peripheral blood smear indicates the appropriate appearance of red blood cells, with a zone
#Clinical #Path ... #Microscopy #PeripheralBloodSmear
Auer Rods - Bone marrow aspiration revealed 5% blasts and 65% promyelocytes; many promyelocytes had prominent
#Clinical #Path ... AcutePromyelocyticLeukemia #Smear #Microscopy
Here are very large, immature myeloblasts with many nucleoli. A distincitve feature of these blasts is
#Clinical #Path ... #Blood #Smear #Microscopy
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Indications Cath ... ventricular arrhythmia Cath ... high (5-7) risk Cath
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Baseline plasma ACTH ... High baseline ACTH ... normal baseline ACTH ... Insufficiency #Differential
Here is another peripheral blood smear demonstrating changes with iron deficiency anemia. Note the increased zone
#Clinical #Path ... #Microscopy #PeripheralBloodSmear