43 results
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Urinalysis/microscopy ... UOP/weights - Urine ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... #Nephrology #Diagnosis
Trichomonas on Urine Microscopy

Trichomonas organisms adjacent to mixed cellular cast containing WBC's, tubular epithelial cells, and
Trichomonas on Urine ... Microscopy Trichomonas ... epithelial cells, and an ... from patient with AKI ... #Trichomonas #Urine
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
When to suspect AIN ... sensitive) • AKI ... , AKD, rapidly progressive ... eosinophiluria, microscopic ... #Algorithm #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... etiologies due to ATN ... workup #diagnosis #nephrology
Acanthocyte on Urine Microscopy

Not a spaceship, not a UFO, just an acanthocyte caught “flying” in dark
Acanthocyte on Urine ... Microscopy Not ... not a UFO, just an ... #Acanthocyte #Urine ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... microscopy / urinary ... osmolarity If cause of AKI ... Kidney #Injury #AKI ... Differential #Diagnosis #nephrology
Urine Microscopy Instructions - How to spin urine

1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... in a centrifuge at ... the slide on the microscope ... #Urine #Microscopy ... Procedure #Urinalysis #Nephrology
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Brown” Casts on Urine ... Microscopy A. ... better appreciated at ... #Microscopy #Clinical ... #Nephrology #Sediment
Mechanisms of Cocaine induced AKI

 • Rhabdomyolysis
 • Vasculitis
 • Infarction
 • Acute interstitial nephritis
 •
Cocaine induced AKI ... • Malignant HTN ... Cocaine #induced #AKI ... #nephrology #pathophysiology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... tubular necrosis (ATN ... Contains yellow-tan ... EricsMedicalLectures/ #Casts #Urine ... #Microscopy #nephrology