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Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... exclusively on urine ... • Ketones • Leukocyte ... used with normal renal ... dipstick #nitrite #leucocyte-esterase
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... cells - Normal • Renal ... also be seen if urine ... glomerular disease • Leukocytes ... contamination #Urine
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Product Types: • Leukocyte ... flank pain, dark urine ... , DIC, hypoTN, renal ... proteins on plts, leukocytes
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Gap - UAG and Urine ... - RenalUrine ... Renal Loss of HCO3 ... - Renal insufficiency ... Hypoaldosteronism - Renal
Step by Step Algorithmic Approach to Pediatric Fever

Age < 21 days old (or 28 days for
sensitivity) Leukocytes ... in the urine Procalcitonin
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... Decreased Serum K, Urine ... Decreased Serum K, Urine ... = Hyperkalemic Renal ... uncimchiefs #RTA #Renal
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... differentiate between pre-renal ... and intrinsic renal ... Urine eosinophils
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
flank pain, dark urine ... , DIC, hypoTN, renal ... proteins on plts, leukocytes
Leukocyte Esterase and Nitrites on Urinalysis
Leukocyte Esterase: Urinary tract infection, Indwelling urinary catheter, Recent instrumentation of
Leukocyte Esterase ... on Urinalysis Leukocyte ... EricsMedicalLectures/ #Leukocyte
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid >4 • Urine ... Na <20: Extra-renal ... losses • Urine ... Na >30: Renal losses ... Na > 30: Renal