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diagnosis nephrology urine differential aki algorithm instructions kidneyinjury urinalysis urinary ain atlas bloodsmear borrelia causes checklist clinical clinicopathology crystals dipstick
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... suggestive of acute ... in a variety of acute ... #Urine #Microscopy
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... tubular cells - Acute ... fresh at time of microscopy ... protein indicating acute ... contamination #Urine #Microscopy
Urine Microscopy Instructions - How to spin urine 1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... the better, as casts ... pellet at the bottom ... the slide on the microscope ... #Urine #Microscopy
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... proteinuria, granular casts ... MatthewHoMD #Acute
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Injury (AKI) - Acute ... Epithelial cell casts ... Obstruction • Cast ... 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 ... are seen in acute ... #Differential #Microscopy
Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Urine Microscopy ... • Fill conical bottom ... gently flicking the bottom ... up by cells or casts ... protein matrix of casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... PROBLEM ~80% of AKI cases ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... LorinskyMD #AKI #Acute
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Urinary casts ... Acute Kidney Injury ... Acute Tubular Necrosis ... leucocyte-esterase #urine #UNa #casts
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Northeast Africa with cases ... Several cases have ... of blood smear, acute ... often experience acute ... recurrentis #BloodSmear #microscopy
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