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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
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... infection • Hyaline casts ... disease • Granular casts
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury ( ... cases are caused ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts ... , crystals, protein
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Kidney Injury (AKI ... AKI) - Acute increase ... Epithelial cell casts ... myeloma) • Urate crystals
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Guide to Acute Kidney ... Injury (AKI) ... - Urinalysis/microscopy ... UOP/weights - Urine ... uric acid (rhabdo/TLS
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 ... #Kidney #Injury
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
sediment and color ... Microscopic exam ... • Urinary casts ... Acute Kidney Injury ... #UNa #casts #glucosuria