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Differential Diagnosis in Acute Renal Failure

#Diagnosis #Differential #AKI #Acute #RenalFailure #KidneyInjury #Algorithm #Nephrology

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Differential Diagnosis ... in Acute Renal ... Failure #Diagnosis ... Differential #AKI #Acute ... #RenalFailure #KidneyInjury
Sulfa Crystals on Urine Microscopy
Sulfa Crystal!  Drug-induced crystalluria is a cause of acute renal failure
Microscopy Sulfa ... is a cause of acute ... renal failure that ... Especially sulfonamides are ... #clinical #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... microscopy / urinary ... cardiac imaging #Acute ... #Differential #Diagnosis
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... repeat testing • Acute ... WBCs, or urine ... for renal biopsy ... uw_IMresidency #Hematuria #Diagnosis
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... tubular cells - Acute ... Red cell casts - Diagnostic ... #key #diagnosis ... #nephrology #casts
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... - RBC casts → Diagnostic ... #Differential #Diagnosis ... #causes #urology ... #nephrology #renal
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Guide to Acute Kidney ... UOP/weights - Urine ... ATN - 45% - Pre-renal ... mostly ATN and pre-renal ... #Diagnosis #Algorithm
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Simplified Approach to Acute ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... #KidneyInjury # ... #nephrology
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
differentiate between pre-renal ... and intrinsic renal ... performance for diagnosing ... acute tubular interstitial ... AcuteKidneyInjury #Nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
- Differential Diagnosis ... at least 50% Renal ... polyangiitis /microscopic ... #KidneyInjury # ... Nephrology #Differential