326 results
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN #Algorithm
Mixed Cellular Casts on Urine Microscopy

Degenerating mixed cellular cast - brightfield, unstained - from patient with
Mixed Cellular Casts ... mixed cellular cast ... pneumococcal sepsis and AKI ... #Cellular #Casts ... #clinical #Urine
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury (AKI ... PROBLEM ~80% of AKI ... cases are caused ... for WBCs, RBCs, casts ... etiologies due to ATN
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Differential Diagnosis Algorithm ... Epithelial cell casts ... Obstruction • Cast ... Differential #Diagnosis #Algorithm ... #Causes
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
rhabdo/TLS) Causes ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... Nephrology #Diagnosis #Algorithm ... #Causes #Differential
Causes of Acute Kidney Injury - Differential Diagnosis Framework 
Pre-Renal
Post-Renal
Intrinsic Renal:
 • Tubules (ATN)
 • Glomerular:
Causes of Acute ... : • Tubules (ATN ... drtonydang @CMC_IM #AKI ... #KidneyInjury #Causes ... Differential #Diagnosis #Algorithm
Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Microscopy and Casts ... Squamous Epithelial Casts ... RBCs - Granular Casts ... Urine #Microscopy #Casts ... #Atlas #Key #Clinical
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Differential Diagnosis Algorithm ... based on repeat clinic ... Consider secondary HTN ... Nephritic syndrome • AKI ... #Hypertension #HTN
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... tubular necrosis (ATN ... ) • Waxy Casts
Acute Kidney Injury Framework - Differential Diagnosis Algorithm

#AKI #Acute #Kidney #Injury #Differential #Diagnosis #Algorithm #causes
Differential Diagnosis Algorithm ... #AKI #Acute #Kidney ... Differential #Diagnosis #Algorithm ... #causes