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nephrology differential management treatment acute blood hematuria aki algorithm comparison disease hematology instructions kidneyinjury product reactions renal rhabdomyolysis table urinalysis
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... glomerular disease • Leukocytes ... • White cell casts ... renal disease • Granular
Urine Microscopy Crystals Uric Acid crystals: - Formation promoted by acidic urine - Seen in tumor lysis
Urine Microscopy ... lysis syndrome Calcium ... systemic disease Calcium ... - Diagnostic of ... #Microscopy #Crystals
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 ... interpretation #diagnosis
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Crystals ... • Urinary casts ... #Urinalysis #crystals ... #urine #UNa #casts
Crystal cast in patient with AKI and TLS on Urine Microscopy Randy Luciano MD, PhD @RandyLucianoMD #TLS #Crystal
Crystal cast in ... AKI and TLS on Urine ... Microscopy Randy ... #casts #crystalluria ... #Urine #Microscopy
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
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
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
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sterile pyuria, WBC casts ... eosinophiluria, microscopic ... tubular proteinuria, granular ... casts/RTE; blend ... Algorithm #nephrology #diagnosis
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... syndrome: • Flank pain ... hematuria: - RBC casts ... → Diagnostic of ... #Differential #Diagnosis
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