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nephrology diagnosis differential acute hematuria hyponatremia instructions kidneyinjury proteinuria syndrome workup acutekidneyinjury blood bloodsmear borrelia checklist crystal crystalluria crystals dipstick
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... on Urine Microscopy ... #Urine #Microscopy ... #Clinical #Nephrology ... #Sediment
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sensitive) • AKI ... sterile pyuria, WBC casts ... proteinuria, granular casts ... /RTE; blend sediment ... #Algorithm #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... microscopy / urinary ... sediment, renal ... investigations depending on clinical ... #causes
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... sediment - WBC/ ... RBC casts ... polyangiitis (GPA) / microscopic ... #Causes
Rouleaux in urine sediment - Urine Microscopy Rouleaux in urine sediment. As the finding in the blood
Rouleaux in urine ... sediment - Urine ... in urine sediment ... #sediment #Microscopy ... #clinical #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
sediment Microscopic ... sediment by microscopy ... syndrome: • Flank pain ... hematuria: - RBC casts ... #urology #nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Kidney Injury (AKI ... cases are caused ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts
Urine Microscopy Instructions 1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy ... sample (10-15mL) in ... the remaining sediment ... under lower power (casts ... #nephrology #diagnosis
Crystal cast in patient with AKI and TLS on Urine Microscopy Randy Luciano MD, PhD @RandyLucianoMD #TLS #Crystal
Crystal cast in ... patient with AKI ... and TLS on Urine ... #TLS #Crystal #casts ... #Microscopy #clinical
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... • Pulmonary pathology ... • Reduced GFR, AKI ... Hypo-osmolar urine
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