264 results
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/waxy mixed casts ... #Granular #MuddyBrown ... #Casts #Urine #
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... on Urine Microscopy ... “urine poker quads ... #Granular #MuddyBrown ... #Casts #Urine #
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... WBCs, or urine ... proteinuria, RBC casts ... Nephrology if cause ... Diagnosis #Algorithm #Workup
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... dipstick, urine ... osmolarity If cause ... #Injury #AKI #Workup ... Diagnosis #nephrology #causes
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
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria: Red/Dark urine ... 1ml blood/liter urine ... more RBC/HPF spun urine ... examination of urine ... RBC - Brown urine
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
Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
 • Trauma
 •
Causes of Approach ... Consciousness - Workup ... Refer to Blood Work ... #diagnosis #workup ... #algorithm #Causes
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
are caused by prerenal ... IMPROVEMENT If the urine ... CONSIDER INTRINSIC CAUSES ... for WBCs, RBCs, casts ... KidneyInjury #simplified #workup
Anemia - Workup and Differential Diagnosis
 - History, Physical Exam, Labs
 - Microcytic
 - Normocytic
 -
Anemia - Workup ... Hemolytic #Anemia #Workup ... Differential #Diagnosis #causes