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diagnosis differential aki microscopy syndrome injury kidney kidneyinjury management acuteinterstitialnephritis acutetubulointerstitialnephritis allergicinterstitialnephritis atlas blood classification comparison corticosteroids decisionaid glomerular hematuria
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria (RBC casts ... dysmorphic RBCs in ... urine)? ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
to Acute Interstitial ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN # ... Algorithm #nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... suggestive of nephrotic ... suggestive of interstitial ... #nephrology #interpretation
Management of Acute Tubulointerstitial Nephritis (aka Acute Interstitial Nephritis). Simplified management algorithm for investigation and treatment
(aka Acute Interstitial ... investigation and treatment ... of Acute Interstitial ... Acute Interstitial ... / #Nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... repeat testing • Acute ... unilateral flank pain ... proteinuria, RBC casts ... if cause not identified
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 ... 34t5DgJ #Urinary #Casts
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... renal biopsy • Interstitial ... nephritis: eosinophilia ... #Diagnosis #nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Urinary obstruction, Nephrotoxic ... PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts ... KidneyInjury #simplified #workup
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... in creatinine by ... Epithelial cell casts ... Interstitial Nephritis ... #KidneyInjury #Nephrology
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• White cell casts ... infection • Hyaline casts ... disease • Granular casts ... key #diagnosis #nephrology ... #casts
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