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nephrology differential acute aki kidneyinjury addiction ain atlas bloodsmear borrelia buprenorphine clinical clinicopathology dysuria hematuria inpatient interstitial key laboratory management
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• Red cell casts ... • White cell casts ... infection • Hyaline casts ... disease • Granular casts ... #nephrology #casts
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Epithelial cell casts ... myeloma) • Urate crystals ... polyangiitis /microscopic ... #Algorithm #Causes
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... are caused by prerenal ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... proteinuria, granular casts ... #nephrology #diagnosis
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... - Differential Diagnosis ... Algorithm Red ... RBCs and/or RBC casts ... #Algorithm #Causes
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Algorithm Persistent ... sediment - WBC/RBC casts ... polyangiitis (GPA) / microscopic ... #Algorithm #Causes
Causes of Dysuria - Differential Diagnosis Algorithm Pyuria - Leukocytes on Dipstick/Microscopy - Bacteriuria & Hematuria -
Causes of Dysuria ... - Differential Diagnosis ... Algorithm Pyuria ... Pyelonephritis - WBC Casts ... #Algorithm #Causes
Algorithm for the Diagnosis of Serotonin Syndrome - Serotonin syndrome is thought to be caused by
Algorithm for the ... Diagnosis of Serotonin ... thought to be caused ... hyperthermia - Most cases ... 24 hours with initiation
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Northeast Africa with cases ... Several cases have ... LBRF can be diagnosed ... hypotension following initiation ... recurrentis #BloodSmear #microscopy
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation ... q 6 hours PRN nausea ... Use Treatment (SHOUT ... Buprenorphine #Initiation ... Management #Addiction #Opiate
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