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diagnosis differential workup kidneyinjury management renal treatment urology acutekidneyinjury ain atlas chloride crystals dipstick glomerular glucosuria hyperkalemia hypokalemia interstitial key
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... eosinophiluria, microscopic hematuria ... proteinuria, granular casts ... #nephrology #diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... repeat testing • Acute ... proteinuria, RBC casts ... → Refer to Nephrology ... Workup #urology #blood
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... Immune mediated injury ... : - RBC casts ... #urology #nephrology ... blood
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... #AKI #Workup #Algorithm ... Differential #Diagnosis #nephrology ... #causes
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Kidney Injury (AKI ... Acute Kidney Injury ... (AKI) - Acute increase ... Epithelial cell casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... Kidney Injury ( ... cases are caused ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• White cell casts ... disease • Granular casts ... crystals may indicate metabolic ... key #diagnosis #nephrology ... #casts
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... Red blood cells ... on urine microscopy ... RBCs and/or RBC casts ... #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... /low blood pressure ... the indicated causes ... #Metabolic #Alkalosis ... #Algorithm #nephrology
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Urinary casts ... Acute Kidney Injury ... (AKI) FE Na < ... #UNa #casts #glucosuria ... #hematuria
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