21 results
Mixed Cellular Casts on Urine Microscopy

Degenerating mixed cellular cast - brightfield, unstained - from patient with
Mixed Cellular Casts ... on Urine Microscopy ... pneumococcal sepsis and AKI ... #Cellular #Casts ... clinical #Urine #Microscopy
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... proteinuria, granular casts
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
white blood cell casts ... renal tubular cell casts ... or pigmented casts ... stones, crystals, tumors ... Kidney #Injury #AKI
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Differential Diagnosis Algorithm ... Epithelial cell casts ... Obstruction • Cast ... polyangiitis /microscopic ... #Causes
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 ... Assess UA w/ microscopy ... for WBCs, RBCs, casts
Crystal cast in patient with AKI and TLS on Urine Microscopy

Randy Luciano MD, PhD @RandyLucianoMD

#TLS #Crystal
Crystal cast in ... patient with AKI ... and TLS on Urine Microscopy ... #TLS #Crystal #casts ... crystalluria #Urine #Microscopy
Causes of Hematuria - Differential Diagnosis Algorithm
Red blood cells on urine microscopy. Must exclude false positives
Differential Diagnosis Algorithm ... cells on urine microscopy ... RBCs and/or RBC casts ... with polyangiitis/microscopic ... Differential #Diagnosis #Algorithm
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... sediment - WBC/RBC casts ... polyangiitis (GPA) / microscopic ... Differential #Diagnosis #Algorithm ... #Causes
Bone Lesion on X-Ray - Differential Diagnosis Algorithm 
Exostotic
 • Osteochondroma
Asymptomatic &/or Non-Active Bone Scam
 •
Differential Diagnosis Algorithm ... Unicameral Bone Cysts ... Aneurysmal Bone Cysts ... • Giant Cell Tumor ... #Orthopedics #Causes
Causes of Dysuria - Differential Diagnosis Algorithm
Pyuria - Leukocytes on Dipstick/Microscopy
 - Bacteriuria & Hematuria -
Differential Diagnosis Algorithm ... Leukocytes on Dipstick/Microscopy ... Pyelonephritis - WBC Casts ... Leukocytes on Dipstick/Microscopy ... Differential #Diagnosis #Algorithm