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diagnosis differential causes urine clinical management urology nephrotic syndrome acute granular nephritic proteinuria renal aki biopsy blood chronic comparison cystic
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sterile pyuria, WBC casts ... eosinophiluria, microscopic ... hematuria, mild ... proteinuria, granular casts ... #nephrology #diagnosis
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... on Urine Microscopy ... of mb granular casts ... Granular #MuddyBrown #Casts ... #Clinical #Nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... Casts • Hyaline ... #Urine #Microscopy ... #nephrology #interpretation
Lipid Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #Lipid #Casts #Urine #Microscopy #clinical #fatty #nephrology
Lipid Casts on Urine ... Microscopy Dr. ... TELMALEMOS10 #Lipid #Casts ... #Urine #Microscopy ... clinical #fatty #nephrology
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 Waxy Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #Waxy #Casts #Urine #Microscopy #clinical #nephrology
Waxy Casts on Urine ... Microscopy Dr ... TELMALEMOS10 #Waxy #Casts ... #Urine #Microscopy ... #clinical #nephrology
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 Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient has hematuria ... have glomerular hematuria ... (RBC casts or dysmorphic ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
RBC Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #RBC #Casts #Urine #Microscopy #clinical #nephrology
RBC Casts on Urine ... Microscopy Dr. ... TELMALEMOS10 #RBC #Casts ... #Urine #Microscopy ... #clinical #nephrology
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 Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• Red cell casts ... • White cell casts ... disease • Granular casts ... key #diagnosis #nephrology ... #casts
Waxy and granular casts - brightfield urine microscopy Dr. Telma Lemos @TELMALEMOS10 #Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular casts ... brightfield urine microscopy ... Waxy #granular #casts ... #Urine #Microscopy ... #clinical #nephrology
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 Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
Proteinuria - ++++ Hematuria ... Red blood cell casts ... Proteinuria - ++ Hematuria ... Red blood cell casts ... edgarvlermamd - Nephrology
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