26 results
Sulfa Crystals on Urine Microscopy
Sulfa Crystal!  Drug-induced crystalluria is a cause of acute renal failure
Sulfa Crystals on ... Urine Microscopy ... cause of acute renal ... Especially sulfonamides are ... crystalluria #clinical #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... Diagnosis Framework Pre-Renal ... Protein) • AIN: Medication ... Medicine @SCVMCMed #AKI ... Differential #Diagnosis #nephrology
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... differentiate between pre-renal ... and intrinsic renal ... @PulmCrit #AKI ... AcuteKidneyInjury #Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Diagnosis Framework PRE-Renal ... Congestion • Medications ... Shunting INTRA-Renal ... Drug-induced POST-Renal ... Differential #Diagnosis #nephrology
Interpreting Kidney Biomarkers

↑ Creatinine: 
 • AKI, CKD
 • Medications that lead to nephroprotective ↓ in
Creatinine: • AKI ... , CKD • Medications ... Cystatin C: • AKI ... cystatin C Dr ... diagnosis #laboratory #nephrology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
) What to ask ... UOP/weights - Urine ... ATN - 45% - Pre-renal ... mostly ATN and pre-renal ... #Nephrology #Diagnosis
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... - Some crystals ... disorders or excreted medications ... key #diagnosis #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury (AKI ... require urgent nephrology ... IMPROVEMENT If the urine ... , RBCs, casts, crystals ... workup #diagnosis #nephrology
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Hyperkalemic Distal Renal ... Failure to acidify urine ... collecting duct due ... Hyperkalemic #Diagnosis #Management ... #Nephrology #RenalTubular
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Failure to acidify urine ... pH <5.5 - Dr ... Distal #Diagnosis #Management ... #Nephrology #Causes