26 results
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
on Urine Microscopy ... “urine poker quads ... #Urine #Microscopy ... #Clinical #Nephrology ... #Sediment
Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy
corresponding urine ... sediment, urinary ... and associated clinical ... #Diagnosis #Nephrology ... #Urinary #Kidney
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
• Fanconi's syndrome ... sediment - WBC/ ... RBC casts ... sediment ... #Proteinuria #Nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... hematuria (RBC casts ... dysmorphic RBCs in urine ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Acanthocyte on Urine Microscopy

Not a spaceship, not a UFO, just an acanthocyte caught “flying” in dark
Acanthocyte on Urine ... in dark field Urinary ... Sediment Microscopy ... #Acanthocyte #Urine ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... microscopy / urinary ... sediment, renal ... investigations depending on clinical ... Differential #Diagnosis #nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology ... Microscopy #Diagnosis #Nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
clots ➔ Lower Urinary ... sediment Microscopic ... sediment by microscopy ... hematuria: - RBC casts ... causes #urology #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... hyperaldosteronism • Low Urine ... (late) • High Urine ... Differential #Diagnosis #Algorithm ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Differential Diagnosis Algorithm ... hyperaldosteronism • Low Urine ... (late) • High Urine ... #Nephrology #Causes