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Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Microscopy and Casts ... Hyaline Cast - WBCs ... - WBC Cast - ... RBC Cast - Fatty ... #Atlas #Key #Clinical
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
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Normal: < 1% Clinically ... on the left Myeloblast ... Differential Diagnosis ... likelihood of negative clinical ... #differential #diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... urine sediment - WBC ... /RBC casts ... #Differential #Diagnosis ... #Algorithm #Causes
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
and Differential Diagnosis ... dysmorphic RBC’s, RBC ... /WBC casts, proteinuria ... neck, prostatic) #Diagnosis
Causes of Anemia with Normal Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Decreased WBCs
 - Decreased/NormaI
Causes of Anemia ... - Differential Diagnosis ... Algorithm Decreased WBCs ... Normal/lncreased WBCs ... #Algorithm #Causes
Causes of Diffuse Lymphadenopathy - Differential Diagnosis Algorithm
Reactive:
 - Systemic Inflammatory
     •
Causes of Diffuse ... - Differential Diagnosis ... (Pancytopenia, WBC ... #Differential #Diagnosis ... #Algorithm #Causes
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
- Differential Diagnosis ... Family history, ultrasound ... Sterile pyuria, WBC ... #Differential #Diagnosis ... #Algorithm #Causes
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
- Differential Diagnosis ... decreased PLT count: CBC ... disease), HBsAg/anti-HBc ... #Differential #Diagnosis ... #Causes #Workup
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... hematuria: - RBC ... castsDiagnostic ... - Dysmorphic RBC ... #Differential #Diagnosis