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diagnosis nephrology differential causes hematuria fever infant management microscopy nephrotic pediatrics peds proteinuria stepbystep syndrome antibiotics atlas biopsy blood checklist
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... glomerular disease • Leukocytes ... • “Muddy brown cast ... contamination #Urine
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... • Ketones • Leukocyte ... • Urinary casts ... dipstick #nitrite #leucocyte-esterase ... #urine #UNa #casts
Step by Step Algorithmic Approach to Pediatric Fever Age < 21 days old (or 28 days for
Step by Step Algorithmic ... sensitivity) Leukocytes ... in the urine Procalcitonin ... Management #StepByStep #Algorithm
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria (RBC casts ... dysmorphic RBCs in urine ... Syndrome #Comparison #Algorithm
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... WBCs, or urine ... → Urine culture ... proteinuria, RBC casts ... Hematuria #Diagnosis #Algorithm
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... Proteinuria (Negative urine ... Proteinuria (Positive urine ... sediment - WBC/RBC casts ... Differential #Diagnosis #Algorithm
Causes of Dysuria - Differential Diagnosis Algorithm Pyuria - Leukocytes on Dipstick/Microscopy - Bacteriuria & Hematuria -
Differential Diagnosis Algorithm ... Pyuria - Leukocytes ... Pyelonephritis - WBC Casts ... No Pyuria - No Leukocytes ... Differential #Diagnosis #Algorithm
“Step by Step” – the new kid on the block – aims to risk stratify this
components of the algorithm ... >21 days - No leukocytes ... in urine - Procalcitonin ... Infant #StepByStep #Algorithm
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 ... and condenser focus ... protein matrix of casts
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Differential Diagnosis Algorithm ... blood cells on urine ... RBCs and/or RBC casts ... Differential #Diagnosis #Algorithm
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