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diagnosis treatment algorithm nephrology differential checklist rheumatology table acute blood hematology hematuria lupus peds summary syndrome anesthesia anesthesiology causes comparison
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
Step by Step Algorithmic Approach to Pediatric Fever Age < 21 days old (or 28 days for
sensitivity) Leukocytes ... in the urine Procalcitonin ... Peds #Diagnosis #Management
Algorithm for the Evaluation of Acute Diarrhea (< 7 days) Are the following present? 1.
Fecal leukocytes ... Fecal leukocyte ... Acute #Diarrhea #management ... #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
“Step by Step” – the new kid on the block – aims to risk stratify this
>21 days - No leukocytes ... in urine - Procalcitonin ... #Diagnosis #Management
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
disease - Fecal leukocytes ... Chronic #Diarrhea #management ... #algorithm #workup
Tumor Lysis Syndrome - Workup and Management Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Lysis Syndrome - Workup ... and Management ... Initial workup ... uric acid, LDH, Urine ... Syndrome #diagnosis #management
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