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diagnosis nephrology differential causes microscopy hematuria clinical sediment acute blood instructions nephritis nephrotic proteinuria renal syndrome urology workup ain aki
Urine Microscopy and Casts - Image Atlas Key - Squamous Epithelial Casts - Transitional Epithelial Cells - Renal Tubular
Urine Microscopy ... and Casts - Image ... Cast - Waxy Cast ... JoseTesser) #Urine ... Key #Clinical #Sediment
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... on Urine Microscopy ... “urine poker quads ... #Urine #Microscopy ... Clinical #Nephrology #Sediment
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... Casts • Hyaline ... nephrotic sydnrome • Pigment ... #Urine #Microscopy
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... sediment - WBC/ ... RBC casts ... sediment ... Differential #Diagnosis #Algorithm
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... proteinuria, granular casts ... /RTE; blend sediment ... Nephritis #AIN #Algorithm
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Differential Diagnosis Algorithm ... blood cells on urine ... RBCs and/or RBC casts ... Hematuria with benign sediment ... Differential #Diagnosis #Algorithm
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria (RBC casts ... dysmorphic RBCs in urine ... Syndrome #Comparison #Algorithm
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... WBCs, or urine ... → Urine culture ... proteinuria, RBC casts ... Hematuria #Diagnosis #Algorithm
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... exclusively on urine ... sediment and color ... • Urinary casts ... #UNa #casts #glucosuria
Urine Microscopy Instructions 1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy ... 1) Spin fresh urine ... the remaining sediment ... under lower power (casts ... iMedEducation #Urine
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