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differential management algorithm treatment acute aki clinical kidneyinjury renal syndrome ain hematuria instructions neurology proteinuria rhabdomyolysis summary urology acutekidneyinjury atlas
Urinary Casts in the setting of renal disease #Clinical #Nephro #Urine #Microscopy #Casts #Comparison #Chart #ATN #AIN
Urinary Casts in ... disease #Clinical #Nephro ... #Urine #Microscopy ... #Casts #Comparison ... #Chart #ATN #AIN
Muddy Brown Casts in ATN #Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts ... in ATN #Clinical ... #Path #Nephro # ... Urine #Microscopy ... MuddyBrownCasts #ATN
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... on Urine Microscopy ... of mb granular casts ... #Urine #Microscopy ... #Clinical #Nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... tubular necrosis (ATN ... #Urine #Microscopy ... #nephrology #interpretation ... #diagnosis
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... disease • Granular casts ... #nephrology #casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... etiologies due to ATN
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... hematuria: - RBC casts ... → Diagnostic of ... • Malignant HTN ... #nephrology #renal
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... sediment - WBC/RBC casts ... polyangiitis (GPA) / microscopic ... nephropathy • HTN ... #Proteinuria #Nephrology
Urine Microscopy Instructions 1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy ... 1) Spin fresh urine ... under lower power (casts ... iMedEducation #Urine ... #nephrology #diagnosis
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... 34t5DgJ #Urinary #Casts ... #Diagnosis #Nephrology
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