9 results
Ruptured Ovarian Cyst on Pelvic Ultrasound

22 year old female w/ acute onset RLQ pain & TTP
on Pelvic Ultrasound ... old female w/ acute ... Urine pregnancy ... though (just in case ... Transabdominal #clinical #gynecology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... of a cellular cast ... #nephrology #interpretation ... #diagnosis
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
• White cell casts ... infection • Hyaline casts ... disease • Granular casts ... • “Muddy brown cast ... #nephrology #casts
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... - Differential Diagnosis ... Epithelial cell casts ... Obstruction • Cast ... #KidneyInjury #Nephrology
Causes of Cystic Renal Mass - Differential Diagnosis Algorithm
Benign - Anechoic on ultrasound, Well-demarcated on ultrasound/CT,
contrast - Simple Cysts ... sized kidneys, No cysts ... Multiple bilateral cysts ... Enlarged kidneys, Cysts ... Cystic #RenalMass #Nephrology
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
LFTs normal Diagnosed ... from peripelvic cysts ... Importantly, peripelvic cysts ... may be a cause ... occasionally may cause
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Management Summary Causes ... Weakness - Dark urine ... Cast formation: ... #treatment #nephrology
Trigger Finger - Stenosing flexor tendon tenosynovitis

There is a change in the slip between the tendon
hypertrophy, but in some cases ... one shown in the video ... In the lightest cases ... most advanced cases ... The diagnosis is
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
hepatitis, or acute ... (no casts, protein ... Normal kidney ultrasound ... essential in all cases ... Syndrome #Hepatology #Nephrology