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diagnosis nephrology algorithm hematuria management acute aki injury kidney renal rheumatology syndromes treatment vasculitis workup acidosis adh agglutinin amyloid amyloidosis
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
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... • 1ml blood/liter ... clots ➔ Lower Urinary ... hematuria: - RBC casts ... #blood
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... breakdown of cellular casts ... heme-granular casts ... #Casts #Differential
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/waxy mixed casts ... surrounding white blood ... cells); B: light ... Granular #MuddyBrown #Casts ... #Urine #Microscopy
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
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Investigations: full blood ... , urine microscopy ... / urinary sediment ... calcium Optional: urinary ... osmolarity If cause
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Red blood cells ... • Urinary casts ... : • White blood ... #UNa #casts #glucosuria
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
- Differential ... Algorithm Red blood ... cells on urine ... microscopy. ... RBCs and/or RBC casts
Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Urine Microscopy ... presence of protein, blood ... or casts and will ... protein matrix of casts ... #Microscopy #Urinary
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
- Differential ... Diagnosis Framework HEMATOLOGIC ... neutrophil count < 500 cells ... Vomiting, decreased urine ... #differential #
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