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differential algorithm causes urine acute blood management pulmonary syndrome treatment urology acutekidneyinjury ain atlas clinical crystals cyst dipstick glucosuria hepatology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sensitive) • AKI ... eosinophiluria, microscopic ... hematuria, mild ... AIN #Algorithm #nephrology ... #diagnosis
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... fresh at time of microscopy ... - Diagnostic of ... #Atlas #key #diagnosis ... #nephrology #casts
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Diagnosis Framework ... : - RBC casts ... → Diagnostic of ... #Differential #Diagnosis ... causes #urology #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... proteinuria, RBC casts ... → Refer to Nephrology ... for renal biopsy ... → CT urography and
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... Cl/urea/protein/Cr ... - Renal/bladder ... - 45% - Pre-renal ... #Nephrology #Diagnosis
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
- Differential Diagnosis ... at least 50% Renal ... Epithelial cell casts ... polyangiitis /microscopic ... #KidneyInjury #Nephrology
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Dyspnea, Fever, Hematuria ... polyangiitis, Microscopic ... , anti-CCP • CXR ... resolution chest CT ... #nephrology
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... , hematuria) • ... Other tests: • CT ... seen on chest CT ... , RBC casts, low
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Urinary casts ... used with normal renal ... Kidney Injury (AKI ... #glucosuria #hematuria
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... + myoglobin AKI ... Cast formation: ... kidney tubular cells ... causes #treatment #nephrology
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