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diagnosis differential acute hyponatremia casts kidneyinjury urinary workup acutekidneyinjury alkalosis atlas chloride hepatology hepatorenal hrs hyperkalemia hypotonic injury intercellularshift interpretation
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... eosinophiluria, microscopic ... tubular proteinuria, granular ... #Algorithm #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... microscopy / urinary ... osmolarity If cause ... Differential #Diagnosis #nephrology ... #causes
Urine Microscopy Instructions 1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy ... Instructions 1) ... under lower power (casts ... #Microscopy #Instructions ... #nephrology #diagnosis
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... UOP/weights - Urine ... rhabdo/TLS) Causes ... #Nephrology #Diagnosis ... #Algorithm #Causes
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Granular - May ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... IMPROVEMENT If the urine ... CONSIDER INTRINSIC CAUSES ... Assess UA w/ microscopy ... workup #diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #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 Instructions - How to spin urine 1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... Instructions - ... the better, as casts ... #Urine #Microscopy ... Procedure #Urinalysis #Nephrology
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