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diagnosis differential management nephrology treatment hematuria list microscopy table travel zoonoses zoonotic acute aki algorithm atlas blastomycosis blood checklist cocci
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
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... WBCs, or urine ... → Urine culture ... proteinuria, RBC casts ... Diagnosis #Algorithm #Workup
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 ... for WBCs, RBCs, casts ... KidneyInjury #simplified #workup
Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Urine Microscopy ... Preparation of the urine ... protein, blood or leukocyte ... up by cells or casts ... protein matrix of casts
Coccidiomycosis - Diagnosis Diagnosis: • Mildly elevated peripheral WBC, Eosinophilia (25%), Elevated ESR, Procalcitonin normal (95%) •
genitourinary system • Urine ... Coccidioides #Diagnosis #workup ... #infectiousdiseases
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Anti-GBM antibody • Urine ... : UA, Urine protein ... hematuria, RBC casts
Travel History - Clues to Infectious Disease Diagnosis in a Traveler • Where did you
- Fleas → Murine ... Commercial sex worker ... HPI #Interview #InfectiousDiseases
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
vast majority of cases ... 3 questions to work ... Measure urine osmolality
Blastomycosis Summary Pathogen: • Dimorphic fungus - Blastomyces dermatitidis or Blastomyces gilchristii. • The fungus lives
Pregnancy • Outdoor worker ... Farmer and forestry work ... fluid, BAL, CSF, urine ... Culture 3) Ag serum/urine ... management #treatment #infectiousdiseases
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