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diagnosis differential acute hematuria workup blood kidneyinjury urology acutekidneyinjury ain anasarca crystals dipstick edema generalized glucosuria hepatology hepatorenal hrs hyponatremia
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sensitive) • AKI ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... proteinuria, granular casts ... #nephrology #diagnosis
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... Microscopic exam ... • Urinary casts ... Kidney Injury (AKI ... #UNa #casts #glucosuria
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... suggestive of interstitial ... #Urine #Microscopy ... #nephrology #interpretation
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
CBC w/ diff - Urinalysis ... /microscopy/UOP/ ... weights - Urine ... #Nephrology #Diagnosis ... #Algorithm #Causes
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Epithelial cell casts ... polyangiitis /microscopic ... polyangiitis) Acute Interstitial ... #KidneyInjury #Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... microscopy / urinary ... renal biopsy • Interstitial ... Differential #Diagnosis #nephrology ... #causes
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... cases are caused ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... Increased renal sodium ... retention, Urine ... • NSAlDs • AKI ... Syndrome Increased Interstitial
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... Confirm hematuria → Urinalysis ... proteinuria, RBC casts ... → Refer to Nephrology ... if cause not identified
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
sediment Microscopic ... (Urinalysis or ... hematuria: - RBC casts ... microscopic and ... #urology #nephrology
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