11 results
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 ... Microscopy Randy ... #Crystal #casts
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Guide to Acute Kidney ... - Urinalysis/microscopy ... UOP/weights - Urine ... uric acid (rhabdo/TLS ... ) Causes of
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... microscopy / urinary ... sediment, renal ... osmolarity If cause ... cardiac imaging #Acute
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Simplified Approach to Acute ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... , crystals, protein ... #Acute #KidneyInjury
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
sediment and color ... Microscopic exam ... • Crystals ... Acute Kidney Injury ... (AKI) FE Na <
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Chronicity: • Acute ... Like in this case ... • Acute = Viral ... Crystals: ... Joint #Pain #MSK #rheumatology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... fever - ACS, AKI ... , acute limb ischemia ... leukapheresis - TLS ... diagnosis #management #hematology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
the time course (acute ... Inflammatory • Crystal ... weeks) Can Be Caused ... - Autoimmune Rheumatologic ... Diagnosis #MSK #rheumatology
American College of Rheumatology Diagnostic Criteria for Gout
Presence of characteristic urate crystals in the joint fluid
American College of Rheumatology ... contain urate crystals ... polarized light microscopy ... one attack of acute ... criteria #diagnosis #Rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... polarized light microscopy ... Screening Tests for Acute ... • Serum and urine ... diagnosis #testing #Rheumatology