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diagnosis neurology physicalexam clinical syndrome differential management microscopy ophthalmology urine acute aki algorithm barre guillain syndromes workup afferent aids anatomy
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... PROBLEM ~80% of AKI cases ... CAUSES Assess ... for WBCs, RBCs, casts ... #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... proteinuria, RBC casts ... → Refer to Nephrology ... cystoscopy • Refer ... to Nephrology if
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
RBC casts in urine ... but in severe cases ... podocyte damage from ... #Proteinuria #Nephrology ... #Diagnosis
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam Alzheimer's is a degenerative, progressive and irreversible disease.
time, and can cause ... delusions and, in some cases ... Apart from cognitive ... present in the video ... #neurology
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 Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Acellular Casts ... • Hyaline Casts ... Believed to be from ... Urine #Microscopy #nephrology ... interpretation #diagnosis
Lazarus Reflex on Physical Exam The Lazarus sign is a reflex movement observed in brain-dead or brainstem
Lazarus Reflex on ... after brain death diagnosis ... reported in some cases ... PhysicalExam #clinical #video ... #neurology #criticalcare
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 Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Non-glomerular bleeding from ... • White cell casts ... infection • Hyaline casts ... disease • Granular casts ... #nephrology #casts
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... edgarvlermamd - Nephrology ... #Nephrology
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Kidney Injury - Classification ... Intrarenal: • Intrinsic ... tubular necrosis (causes ... Kidney #Injury #Classification ... #diagnosis #nephrology
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
- Differential Diagnosis ... hydronephrosis on U/S) • Reflux ... Sterile pyuria, WBC casts ... KidneyDisease #Nephrology ... #Algorithm #Causes
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