9 results
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... sterile pyuria, WBC casts ... proteinuria, granular casts ... #nephrology #diagnosis
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... evaluation? ... cases are caused ... CONSIDER INTRINSIC CAUSES ... for WBCs, RBCs, casts
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Acellular Casts ... Eric Strong @DrEricStrong ... - Strong Medicine ... Urine #Microscopy #nephrology ... #interpretation
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Epithelial cell casts ... Obstruction • Cast ... #KidneyInjury #Nephrology ... #Causes
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Caused by splanchnic ... Bland urine (no casts ... liver transplant evaluation ... essential in all cases ... Syndrome #Hepatology #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Heat injury, Heat stroke ... + myoglobin AKI ... Cast formation: ... #treatment #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... cell/white cell casts ... nervous system (stroke ... Nephrocalcinosis causes ... nephrotic #syndrome #nephrology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... continued in most cases ... ; interpretation ... #differential #algorithm ... #nephrology
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
hydronephrosis/stone ... Sonopalpation - localization ... hydronephrosis POCUS interpretation ... may be a cause ... occasionally may cause