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diagnosis algorithm acute aki hematuria atlas clinical instructions key kidney kidneyinjury proteinuria urinary workup blood checklist dipstick examination glomerular glucosuria
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... on Urine Microscopy ... #Urine #Microscopy ... #Clinical #Nephrology ... #Sediment
Urine Microscopy - Kidney Stones and Crystals Uric Acid, Cystine, Hippurate, Cloth Fiber, Tyrosine, CaOx, CaP,
Urine Microscopy ... #Microscopy #Crystals ... Identification #Differential ... #Stones #Key #Nephrology ... #Sediment #Kidney
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... key #diagnosis #nephrology ... #casts
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... - Differential ... RBC casts ... polyangiitis (GPA) / microscopic ... #Proteinuria #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... sediment Microscopic ... sediment by microscopy ... hematuria: - RBC casts ... #urology #nephrology
Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Urine Microscopy ... up by cells or casts ... Ill stain) and crystals ... RBC's, lipids, crystals ... protein matrix of casts
Urine Microscopy Instructions 1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy ... 1) Spin fresh urine ... the remaining sediment ... under lower power (casts ... #nephrology #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
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
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
sediment and color ... Microscopic exam ... • Crystals ... • Urinary casts ... #UNa #casts #glucosuria
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