15 results
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... fresh at time of microscopy ... tubular injury • Crystals ... - Some crystals ... key #diagnosis #nephrology
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
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Epithelial cell casts ... Obstruction • Cast ... myeloma) • Urate crystals ... polyangiitis /microscopic ... #KidneyInjury #Nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... PHYSICAL Assess if patient ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Step 1: If the patient ... Step 2: Does the patient ... hematuria (RBC casts ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... sediment - WBC/RBC casts ... polyangiitis (GPA) / microscopic ... #Proteinuria #Nephrology ... Differential #Diagnosis #Algorithm
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Urinalysis/microscopy ... Causes of Inpatient ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
an Alzheimer's Patient ... delusions and, in some cases ... #Orbicularis #Snout ... clinical #video #neurology
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