11 results
Crystal cast in patient with AKI and TLS on Urine Microscopy

Randy Luciano MD, PhD @RandyLucianoMD

#TLS #Crystal
Crystal cast in ... patient with AKI ... #casts #crystalluria ... #Urine #Microscopy ... #clinical
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
PHYSICAL Assess if patient ... PROBLEM ~80% of AKI cases ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Algorithm Acute ... Epithelial cell casts ... myeloma) • Urate crystals ... polyangiitis /microscopic ... #Algorithm #Causes
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
Algorithm for the ... thought to be caused ... - Clinical findings ... 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 ... hypotension following initiation ... recurrentis #BloodSmear #microscopy ... #pathology #clinical
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
Clinical Opioid ... attributed to opiate ... Use Treatment (SHOUT ... ) #COWS #Opiate ... Buprenorphine #Score #Diagnosis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... just pain when patient ... identifies 85 to 95% of cases ... a month after initiating ... ’t worry about initiating
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... prioritized as the critical ... diagnostic step ... witnessed many cases ... unstable trauma patient
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 ... Management #Addiction #Opiate ... #Prescribing #Inpatient
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Incidence: 1 to 2 cases ... transplantation CLINICAL ... • Even before initiating ... specific therapy, the clinician ... whether to admit the patient