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diagnosis nephrology urine acute aki causes algorithm kidney atlas clinical hematology hematuria injury oncology key kidneyinjury renal sediment syndromes urinary
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 ... individuals; “abnormal” crystals
Urine Microscopy - Kidney Stones and Crystals Uric Acid, Cystine, Hippurate, Cloth Fiber, Tyrosine, CaOx, CaP,
Urine Microscopy ... Kidney Stones and Crystals ... Neph_Sim #Urine #Microscopy ... #Crystals #Identification ... #Differential #
Crystal cast in patient with AKI and TLS on Urine Microscopy Randy Luciano MD, PhD @RandyLucianoMD #TLS #Crystal
Crystal cast in ... and TLS on Urine Microscopy ... RandyLucianoMD #TLS #Crystal ... #casts #crystalluria ... #Urine #Microscopy
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Injury (AKI) - Differential ... Epithelial cell casts ... Obstruction • Cast ... myeloma) • Urate crystals ... polyangiitis /microscopic
Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
up by cells or casts ... Ill stain) and crystals ... RBC's, lipids, crystals ... protein matrix of casts ... identification of lipids, crystals
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Kidney Injury - Differential ... white blood cell casts ... or pigmented casts ... Intrarenal: stones, crystals ... #Injury #AKI #Differential
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... #Differential # ... Microscopy #Diagnosis
Medications causing Acute Kidney Injury (AKI) Prerenal: • Dehydration: Diuretics • Altered intrarenal autoregulation: ACEIs / ARBs,
Bactrim), NSAIDs • Crystal ... sphincter tone: • Opiates ... #pharmacology #differential
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
of Hematuria - Differential ... cells on urine microscopy ... RBCs and/or RBC casts ... with polyangiitis/microscopic ... #Hematuria #Differential
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