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diagnosis nephrology aki causes algorithm hematuria kidneyinjury workup acutekidneyinjury atlas blood drugs glucosuria key leucocyteesterase medications nitrite pharmacology renal simplified
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... tubular cells - Acute ... tubular injury ... protein indicating acute ... tubular injury
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Clarity Dipstick ... Microscopic exam ... • Crystals ... • Urinary casts ... Acute Kidney Injury
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... , urine dipstick ... , urine microscopy ... / urinary sediment ... #Kidney #Injury
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Acute Kidney Injury ... - Differential ... Intrarenal: stones, crystals ... #Kidney #Injury ... #AKI #Differential
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Kidney Injury (AKI ... ) - Differential ... Kidney Injury ( ... myeloma) • Urate crystals ... polyangiitis /microscopic
Medications causing Acute Kidney Injury (AKI) Prerenal: • Dehydration: Diuretics • Altered intrarenal autoregulation: ACEIs / ARBs,
Kidney Injury ( ... Bactrim), NSAIDs • Crystal ... contraction, and/or ↑ urinary ... sphincter tone: • Opiates ... #Kidney #Injury
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... are seen in acute ... broad - Advanced kidney ... #Casts #Differential
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Kidney Injury ( ... circulating volume, Urinary ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... , crystals, protein
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... clots ➔ Lower Urinary ... (Urinalysis or dipstick ... Immune mediated injury ... hematuria: - RBC casts
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... Injury (AKI) ... - Urinalysis/microscopy ... UOP/weights - Urine ... pre-renal) - Urinary
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