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Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
#Granular #MuddyBrown ... #Casts #Urine #
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Brown” Casts on Urine ... “urine poker quads ... #Granular #MuddyBrown ... #Casts #Urine #
Laboratory Testing in Hemolytic Anemia

Intravascular vs Extravascular Hemolysis
Reticulocytes
Unconjugated bilirubin
LDH
Peripheral smear
Haptoglobin
Urine hemosiderin
Urine hemoglobin
Carboxyhemoglobin

#Hemolytic #Anemia #Laboratory #Testing #workup
Haptoglobin Urine ... hemosiderin Urine ... Laboratory #Testing #workup
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... Gap - UAG and Urine ... gap - UA with urine ... Gap - Estimate urine ... Differential #Diagnosis #Workup
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... Symptoms of UTI, urine ... WBCs, or urine ... → Urine culture ... Diagnosis #Algorithm #Workup
Amyloidosis - Workup and Diagnostic Algorithm
 • Serum Immunofixation and Serum Free Light Chains
 • Biopsy
Amyloidosis - Workup ... • Serum and urine ... IFE and 24-h urine ... #Amyloidosis #Workup
Diagnostic algorithm for the workup of hypercalcemia. The diagnostic workup for patients presenting with hypercalcemia rests
algorithm for the workup ... The diagnostic workup ... Urine calcium-creatinine ... from a 24-hour urine ... Hypercalcemia #Workup
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... differential, urine ... dipstick, urine ... blood culture, urine ... #Injury #AKI #Workup
Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can
, no extensive workup ... EtOH - Infectious workup ... : CXR, UA, urine
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
FHH — check the urine ... Hypercalcemia #workup ... elevated #evaluation #workup