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diagnosis differential casts alkalosis chloride clinical hypernatremia hyponatremia hypotonic key metabolic muddybrown physiologic sediment table urinary
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
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
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
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... the indicated causes ... sodium is typically ... #Algorithm #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... can be high or low ... #nephrology
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