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diagnosis algorithm urine injury kidney kidneyinjury management workup cardiology endocarditis renal treatment urology abdominal acutekidneyinjury atlas bloodsmear borrelia chronic clinical
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sensitive) • AKI ... sterile pyuria, WBC casts ... hematuria, mild ... proteinuria, granular casts ... #Algorithm #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... urine • 1ml blood ... clots ➔ Lower Urinary ... : - RBC casts ... #urology #nephrology
Causes of Dysuria - Differential Diagnosis Algorithm Pyuria - Leukocytes on Dipstick/Microscopy - Bacteriuria & Hematuria -
Causes of Dysuria ... - Differential ... on Dipstick/Microscopy ... Bacteriuria & Hematuria ... Pyelonephritis - WBC Casts
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• Red cell casts ... glomerular disease • Leukocytes ... • White cell casts ... key #diagnosis #nephrology ... #casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... circulating volume, Urinary ... cases are caused ... Assess UA w/ microscopy ... for WBCs, RBCs, 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 ... are seen in acute ... #Casts #Differential
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... in creatinine by ... Epithelial cell casts ... polyangiitis /microscopic ... #Nephrology #Differential
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Urinary casts ... (AKI) FE Na < ... #urine #UNa #casts ... #glucosuria #hematuria
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
cell casts on UA ... renal tubular cell casts ... or pigmented casts ... treating underlying cause ... Kidney #Injury #AKI
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... dipstick, urine microscopy ... / urinary sediment ... #Diagnosis #nephrology ... #causes
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