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diagnosis nephrology algorithm cardiology endocarditis infectiousdiseases injury kidney kidneyinjury management workup acutekidneyinjury ain bloodsmear borrelia clinical clinicopathology crystals dipstick fever
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... ) - Differential ... Epithelial cell casts ... Obstruction • Cast ... polyangiitis /microscopic
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... sensitive) • AKI ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... proteinuria, granular casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... cases are caused ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... #Acute #KidneyInjury
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... dipstick, urine microscopy ... osmolarity If cause ... including blood culture ... , urine culture,
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
white blood cell casts ... renal tubular cell casts ... or pigmented casts ... treating underlying cause ... Kidney #Injury #AKI
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... - Urinalysis/microscopy ... rhabdo/TLS) Causes ... Diagnosis #Algorithm #Causes ... #Differential
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... are seen in acute ... 34t5DgJ #Urinary #Casts
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Urinary casts ... Acute Kidney Injury ... (AKI) FE Na < ... leucocyte-esterase #urine #UNa #casts
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
positive in 90% of IE cases ... Acute: • S. ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Treat underlying cause
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... EGPA) • Renal: (AKI ... Goodpasture's cause ... FINDINGS: • U/A: microscopic ... hematuria, RBC casts
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