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diagnosis urine clinical nephrology differential acute aki causes hematuria kidneyinjury nejm abscess algorithm amebic atlas birefringent blood bulla checklist clinicopathology
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 - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Urinary Sediment Examination ... examination: • ... up by cells or casts ... Ill stain) and crystals ... protein matrix of casts
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
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
PROBLEM ~80% of AKI cases ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Crystals ... • Urinary casts ... #Urinalysis #crystals ... leucocyte-esterase #urine #UNa #casts
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
urine sediment Microscopic ... Detectable by examination ... urine sediment by microscopy ... pain + gross or microscopic ... hematuria: - RBC casts
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam Alzheimer's is a degenerative, progressive and irreversible disease.
delusions and, in some cases ... , neurological examination ... #Orbicularis #Snout
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 Milk of Urate Bulla - A new blister overlying the radial aspect of the second interphalangeal
Examination of the ... polarized light microscopy ... negatively birefringent crystals ... #Birefringent #Microscopy
Amebic Liver Abscess- ...Computed tomography of the abdomen performed after the administration of contrast material revealed
Microscopic examination ... ingestion of amebic cysts
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