12 results
Mixed Cellular Casts on Urine Microscopy

Degenerating mixed cellular cast - brightfield, unstained - from patient with
Mixed Cellular Casts ... on Urine Microscopy ... unstained - from patient ... pneumococcal sepsis and AKI ... clinical #Urine #Microscopy
Crystal cast in patient with AKI and TLS on Urine Microscopy

Randy Luciano MD, PhD @RandyLucianoMD

#TLS #Crystal
Crystal cast in ... patient with AKI ... and TLS on Urine Microscopy ... #casts #crystalluria ... #Urine #Microscopy
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... Nephritis #AIN #Algorithm
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Differential Diagnosis Algorithm ... Epithelial cell casts ... Obstruction • Cast ... myeloma) • Urate crystals ... polyangiitis /microscopic
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
PHYSICAL Assess if patient ... cases are caused ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Trichomonas on Urine Microscopy

Trichomonas organisms adjacent to mixed cellular cast containing WBC's, tubular epithelial cells, and
Trichomonas on Urine Microscopy ... mixed cellular cast ... SM stain - from patient ... with AKI and endocarditis ... Trichomonas #Urine #Microscopy
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Kidney Injury (AKI ... - Urinalysis/microscopy ... Causes of Inpatient ... AKI (Liano 1996 ... Nephrology #Diagnosis #Algorithm
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Crystals ... • Urinary casts ... Kidney Injury (AKI ... #Urinalysis #crystals
Trichomonad on Urine Microscopy

Trichomonad adjacent to RBC cast - brightfield with SM stain - from patient
Trichomonad on Urine Microscopy ... adjacent to RBC cast ... SM stain - from patient ... with AKI and endocarditis ... Trichomonad #Urine #Microscopy
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Use Treatment (SHOUT ... Methadone #Initiation #Algorithm ... Management #Addiction #Opiate ... #Prescribing #Inpatient