12 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 ... #Microscopy
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 ... #casts #crystalluria ... #Urine #Microscopy
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... infection • Hyaline casts ... disease • Granular casts
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
cases are caused ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Epithelial cell casts ... Obstruction • Cast ... myeloma) • Urate crystals ... polyangiitis /microscopic ... Diagnosis #Algorithm #Causes
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Workup Algorithm ... microscopy / urinary ... osmolarity If cause ... #Workup #Algorithm ... Diagnosis #nephrology #causes
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Crystals ... • Urinary casts ... Kidney Injury (AKI ... #UNa #casts #glucosuria
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
sediment Microscopic ... sediment by microscopy ... hematuria: - RBC casts ... microscopic and ... Hematuria: • Urethritis
Urine Microscopy - Urinary Sediment Examination Instructions
Preparation of the urine for microscopic examination:
 • Clean catch
Urine Microscopy ... up by cells or casts ... Ill stain) and crystals ... RBC's, lipids, crystals ... protein matrix of casts
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
 • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
Glomerulonephritis (MPGN) AKA ... GN • Active Urine ... dysmorphic RBC, RBC casts ... Sjogren's, rheumatoid arthritis