44 results
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
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Confirm hematuria → Urinalysis ... unilateral flank pain ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
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
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 ... #Urinalysis #crystals
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... sensitive) • AKI ... eosinophiluria, microscopic ... #Algorithm #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... sodium and serum ... sodium low, uric ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
sediment Microscopic ... (Urinalysis or ... syndrome: • Flank pain ... microscopic and ... #urology #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury (AKI ... require urgent nephrology ... 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 ... the better, as casts ... perform a quick urinalysis ... #Urine #Microscopy ... #Nephrology #Preparation
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