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diagnosis differential casts hypokalemia hyponatremia acute aki clinical urinary acutekidneyinjury alkalosis atlas cells chloride epilepticus glitter hyperkalemia hypernatremia hypotonic instructions
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Urine Microscopy ... appreciated at low ... #Casts #Urine # ... Microscopy #Clinical ... #Nephrology #Sediment
Glitter Cells on Urine Microscopy Glitter cells in the urine are viable and pale staining WBCs with
Microscopy Glitter ... cells in the urine ... with cytoplasmic granular ... depends on the low ... #nephrology
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 True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... sodium low, uric ... uric acid low in ... #Differential #Algorithm ... #Diagnosis #Nephrology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... eosinophiluria, microscopic ... tubular proteinuria, granular ... #Algorithm #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Hypernatremia #Nephrology ... #Causes
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Granular - May ... Muddy-brown" heme-granular ... #Differential #Microscopy ... #Diagnosis #Nephrology
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... renal disease • Granular ... #Microscopy #Atlas ... key #diagnosis #nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... but can be seen in ... ) • Granular Casts ... #Urine #Microscopy ... #nephrology #interpretation
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... : Hypovolemia, Low ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... workup #diagnosis #nephrology
Urine Microscopy Instructions - How to spin urine 1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... Instructions - How ... the better, as casts ... #Urine #Microscopy ... Procedure #Urinalysis #Nephrology
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