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clinical diagnosis ucsdh differential nephrology dermatology algorithm management microscopy skinrash casts syndrome treatment hyponatremia workup ophthalmology pathophysiology skin discoloration nejm
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
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... glomerular disease • Leukocytes ... • White cell casts ... contamination #Urine
Step by Step Algorithmic Approach to Pediatric Fever Age < 21 days old (or 28 days for
sensitivity) Leukocytes ... in the urine Procalcitonin
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria: Red/Dark urine ... 1ml blood/liter urine ... more RBC/HPF spun urine ... examination of urine ... RBC - Brown urine
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Proteinuria (Negative urine ... Proteinuria (Positive urine ... albuminuria) - Active urine ... Diagnosis #Algorithm #Causes
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... listed under green urine ... * Green Urine: ... : • Purple Urine ... Syndrome - UTI caused
Lower Urinary Tract Infection: Pathogenesis and Clinical Findings - Predisposing Factors: Immunocompromised state, diabetes, elderly, female
urethra), stagnant urine ... systems, or stagnant urine ... Tenderness - Urine ... (+) Nitrites, Leukocyte ... ) Foul, turbid urine
Purple Urine Bag Syndrome Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine Tryptophan → Indoxyl
Purple Urine Bag ... E.coli*) + alkaline urine ... BrighamChiefs #Purple #Urine ... pathophysiology #clinical #photo
Causes of Abnormal Urine Colors - Differential Diagnosis Blue-Green - Yellow - Orange - Pink - Red
Causes of Abnormal ... Urine Colors - ... White - Purple #Urine ... differential #diagnosis #causes
Leukemias Overview: ALL, CML, AML, APML, CLL Acute leukemias > 20% blasts in the peripheral blood smear
-> AML: Blast crises ... • Blasts > 10% leukocytes ... Splenomegaly • ↑ Leukocyte ... AML Dx: • ↑ Leukocyte ... differentiated leukocytes
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