19 results
Evaluation of Leukocytosis:
The term 'leukocyte' applies to any cells within the myeloblast, monoblast, & lymphoid lineages.
Include
cells within the myeloblast ... Mature WBC: 80- ... LEUCOCYTOSIS WBC ... ) and immature WBCs ... the underlying cause
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... urine sediment - WBC ... /RBC casts ... #Proteinuria #Nephrology ... Diagnosis #Algorithm #Causes
RBC Casts on Urine Microscopy

Dr. Telma Lemos @TELMALEMOS10

#RBC #Casts #Urine #Microscopy #clinical #nephrology
RBC Casts on Urine ... TELMALEMOS10 #RBC ... #Casts #Urine # ... Microscopy #clinical #nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
of UTI, urine WBCs ... (proteinuria, RBC ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Acellular Casts ... • Hyaline Casts ... : • RBC Casts - ... glomerulonephritis • WBC ... Urine #Microscopy #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... are caused by prerenal ... CONSIDER INTRINSIC CAUSES ... microscopy for WBCs ... workup #diagnosis #nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria: 3 or more RBC ... hematuria: - RBC ... - Dysmorphic RBC ... and SMA - Can cause ... #urology #nephrology
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... Sterile pyuria, WBC ... casts, eosinophiluria ... KidneyDisease #Nephrology ... Diagnosis #Algorithm #Causes
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
sterile pyuria, WBC ... casts, eosinophiluria ... proteinuria, granular casts ... AIN #Algorithm #nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
glomerular hematuria (RBC ... casts or dysmorphic ... Comparison #Algorithm #Nephrology