57 results
Step by Step Algorithmic Approach to Pediatric Fever

Age < 21 days old (or 28 days for
Approach to Pediatric Fever ... sensitivity) Leukocytes ... in the urine Procalcitonin ... Peds #Diagnosis #Management ... Algorithm #Infant #Fever
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” – the new kid on the block – aims to risk stratify this
an infant with fever ... >21 days - No leukocytes ... in urine - Procalcitonin ... #Diagnosis #Management ... Stratification #Fever
Algorithm for the Evaluation of Acute Diarrhea (< 7 days)
Are the following present?
   1.
Fecal leukocytes ... Fecal leukocyte ... Bloody diarrhea, fever ... Acute #Diarrhea #management
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
• Exercise • Fever ... Proteinuria (Negative urine ... Proteinuria (Positive urine ... albuminuria) - Active urine ... sediment - WBC/RBC casts
Lower Urinary Tract Infection: Pathogenesis and Clinical Findings

- Predisposing Factors:  Immunocompromised state, diabetes, elderly, female
urethra), stagnant urine ... systems, or stagnant urine ... - Dysuria - Fever ... Tenderness - Urine ... (+) Nitrites, Leukocyte
Infections Rats can Transmit to Humans
Other infections not highlighted include Lassa fever, Plague, Salmonella, Tularemia etc

Rat
include Lassa fever ... : - Rat-Bite Fever ... Hantavirus Rate Urine ... InfectiousDiseases #Diagnosis #Management
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
Pediatric UTI Algorithm (2-24 months of age)

Risk stratify with UTI Calc: 
 - Age months
- No other fever ... Emergency Medicine Cases ... Algorithm #Diagnosis #Management