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algorithm management urine acute syndrome aki hematology workup hyperkalemia potassium treatment disorders hematuria hypokalemia injury kidney anemia chloride clinical high
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• Red cell casts ... • 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 ... heme-granular casts ... edgarvlermamd - Nephrology ... Microscopy #Diagnosis ... #Nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... #Urine #Microscopy ... #nephrology #interpretation ... #diagnosis
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine • 1ml blood ... hematuria: - RBC casts ... #Diagnosis #causes ... #urology #nephrology
Rouleaux in urine sediment - Urine Microscopy Rouleaux in urine sediment. As the finding in the blood
sediment - Urine Microscopy ... finding in the blood ... smears, it is caused ... urine #sediment #Microscopy ... #clinical #nephrology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
cell casts - Absent ... cell casts - Present ... edgarvlermamd - Nephrology ... Comparison #Table #Nephrology ... #Diagnosis
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 ... Assess UA w/ microscopy ... 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 ... #blood #urine
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Kidney Injury - Differential ... cells/proteinuria ... cell casts on UA ... renal tubular cell casts ... or pigmented casts
Causes of Facial Weakness - Differential Diagnosis Algorithm Forehead Sparing = Central cause - Most commonly
Weakness - Differential ... Diagnosis Algorithm ... - Unilateral: Bell's ... #Diagnosis #Algorithm ... #Causes #neurology
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