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algorithm differential acute aki hematuria workup blood nephritic atlas diseases glomerular injury key kidney management microscopic simplified syndrome syndromes
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
RBC casts in urine ... severe cases ... #Classification ... #Proteinuria #Nephrology ... #Diagnosis
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria (RBC casts ... urine)? ... #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... • Hyaline casts ... #nephrology #casts
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... heme-granular casts ... edgarvlermamd - Nephrology ... #Microscopy #Diagnosis ... #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
clots ➔ Lower Urinary ... hematuria: - RBC casts ... - Proteinuria ... #causes #urology ... #nephrology #renal
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
, RBC casts, dysmorphic ... → Refer to Nephrology ... and referral to Urology ... cystoscopy • Refer to Nephrology ... Algorithm #Workup #urology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of nephrotic ... #Urine #Microscopy ... #nephrology #interpretation ... #diagnosis
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... obstruction, Nephrotoxic ... PROBLEM ~80% of AKI cases ... for WBCs, RBCs, casts ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
microscopy / urinary ... cryoglobulins, hepatitis serology ... , HIV serology, ... Interstitial nephritis ... #nephrology #causes
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Epithelial cell casts ... polyangiitis /microscopic ... Acute Interstitial Nephritis ... #AKI #Acute #KidneyInjury ... #Nephrology #Differential
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