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nephrology algorithm acute aki hematuria kidneyinjury renal workup atlas blood clinicopathology dipstick fever glucosuria infectiousdiseases injury interpretation key kidney laboratory
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... disease • Granular casts ... #nephrology #casts
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... compounds (e.g. heme, bilirubin ... #Urine #Microscopy ... interpretation #diagnosis
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... Diagnosis Framework ... hematuria: - RBC casts ... #Hematuria #Differential ... #Diagnosis #causes
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Bilirubin. ... Microscopic exam ... • Crystals ... • Urinary casts ... #UNa #casts #glucosuria
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... - Differential ... Diagnosis Algorithm ... sediment - WBC/RBC casts ... polyangiitis (GPA) / microscopic
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Diagnosis Baseline ... , urine microscopy ... osmolarity If cause ... , haptoglobin, bilirubin ... #causes
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Diagnosis Algorithm ... Epithelial cell casts ... myeloma) • Urate crystals ... polyangiitis /microscopic
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 ... 34t5DgJ #Urinary #Casts ... Microscopy #Diagnosis
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... - Differential ... blood cells on urine ... microscopy. ... RBCs and/or RBC casts
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