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blood hematuria workup aki injury interpretation interstitial key kidney nephritis renal urinary
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
casts, eosinophiluria ... , microscopic hematuria ... casts/RTE; blend ... #AIN #Algorithm ... #nephrology #diagnosis
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... ) • Granular Casts ... • RBC Casts - ... #Urine #Microscopy ... #diagnosis
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... renal disease • Granular ... #Microscopy #Atlas ... #nephrology #casts
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... casts are seen ... in acute tubular ... Microscopy #Diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
repeat testing • Acute ... unilateral flank pain ... casts, dysmorphic ... for renal biopsy ... if cause not identified
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
sediment Microscopic ... sediment by microscopy ... casts → Diagnostic ... #Diagnosis #causes ... #urology #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... , urine microscopy ... / urinary sediment ... Interstitial nephritis ... Diagnosis #nephrology
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