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diagnosis aki differential hematuria kidneyinjury workup acutekidneyinjury atlas blood crisis dipstick glucosuria key leucocyteesterase nitrite renal rheumatology scleroderma simplified src
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... key #diagnosis #nephrology ... #casts
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... Microscopic exam ... • Urinary casts ... #Urinalysis #crystals ... #UNa #casts #glucosuria
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... Confirm hematuria → Urinalysis ... repeat testing • Acute ... proteinuria, RBC casts ... → Refer to Nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Epithelial cell casts ... myeloma) • Urate crystals ... polyangiitis /microscopic ... #KidneyInjury #Nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... CBC w/ diff - Urinalysis ... /microscopy/UOP/ ... weights - Urine ... #Diagnosis #Algorithm
Scleroderma Renal Crisis (SRC) Clinical Presentation of Scleroderma Renal Crisis: 1) Acute kidney injury 2) Abrupt onset of hypertension 3)
Renal Crisis: 1) Acute ... hypertension 3) Abnormal urinalysis ... , add other BP meds ... • Refractory cases ... #rheumatology #nephrology
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