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diagnosis acute differential aki algorithm kidneyinjury urinary blood checklist dipstick examination glucosuria instructions interstitial key leucocyteesterase nephritis nitrite renal sediment
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... renal disease • Granular ... #Microscopy #Atlas ... key #diagnosis #nephrology ... #casts
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... but can be seen in ... ) • Granular Casts ... #Urine #Microscopy ... #nephrology #interpretation
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
sediment Microscopic ... : • Flank pain ... : - RBC casts ... microscopic and ... #urology #nephrology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sterile pyuria, WBC casts ... eosinophiluria, microscopic ... hematuria, mild ... casts/RTE; blend ... #Algorithm #nephrology
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Crystals ... • Urinary casts ... #urine #UNa #casts ... #glucosuria #hematuria
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 ... casts are seen ... 34t5DgJ #Urinary #Casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Urine Microscopy ... protein, blood or leukocyte ... up by cells or casts ... Ill stain) and crystals ... protein matrix of casts
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Epithelial cell casts ... myeloma) • Urate crystals ... • Calcium Oxalate ... polyangiitis /microscopic ... #KidneyInjury #Nephrology
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