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differential acute algorithm hematuria kidneyinjury workup acutekidneyinjury atlas blood crystals dipstick glomerulonephritis glucosuria injury interpretation interstitial key kidney leucocyteesterase management
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sensitive) • AKI ... casts, eosinophiluria ... , microscopic hematuria ... casts/RTE; blend ... #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
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 ... 34t5DgJ #Urinary #Casts ... #Diagnosis #Nephrology
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • Hyaline casts ... disease • Granular ... #nephrology #casts
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... sediment Microscopic ... sediment by microscopy ... casts → Diagnostic ... #nephrology #renal
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
cases are caused ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, ... casts, crystals
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
and Differential Diagnosis ... microscopy / urinary ... sediment, renal ... • Interstitial nephritis ... #nephrology #causes
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... Sediment (dysmorphic ... RBC, RBC casts, ... glomerulopathy, radiation nephritis ... #diagnosis #renal
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- BMP, cap, CBC ... - Urinalysis/microscopy ... UOP/weights - Urine ... #Nephrology #Diagnosis ... #Algorithm #Causes
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Acute increase in ... Epithelial cell casts ... polyangiitis /microscopic ... Acute Interstitial Nephritis ... #KidneyInjury #Nephrology
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