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