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diagnosis nephrology urine acute clinical addiction causes differential initiation kidneyinjury management prescribing start treatment trichomoniasis acutekidneyinjury buprenorphine clinicopathology crystal crystalluria
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 ... #Algorithm #nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Acute increase in ... 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
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 Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... Causes of Inpatient ... ) - ATN - 45% ... CKD— 13% (mostly ATN ... 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 ... in the setting
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 Quick Guide: Methadone Starts in the Hospital Day 1: max daily dose 40 mg methadone First dose • Check
Methadone Starts in ... Use Treatment (SHOUT ... Methadone #Initiation #Algorithm ... Management #Addiction #Opiate ... #Prescribing #Inpatient
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... to follow day 1 algorithm ... Use Treatment (SHOUT ... Management #Addiction #Opiate ... #Prescribing #Inpatient
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