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diagnosis differential acute hematuria hyponatremia urology workup blood kidneyinjury acutekidneyinjury ain alkalosis casts chloride color crystals discoloration glucosuria hepatology hepatorenal
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... • Clarity Dipstick ... Microscopic exam ... Kidney Injury (AKI ... #dipstick #nitrite
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... dipstick, urine ... microscopy / urinary ... Differential #Diagnosis #nephrology ... #causes
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 - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
sediment Microscopic ... (Urinalysis or ... dipstick) Glomerular ... microscopic and ... #urology #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... Confirm hematuria → Urinalysis ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
Urine Microscopy Instructions - How to spin urine 1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... the better, as casts ... dipstick available ... #Urine #Microscopy ... #Nephrology #Preparation
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... eosinophiluria, microscopic ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
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 Color - Differential Diagnosis Red Urine: • Medical conditions: bleeding, porphyria, factitious disorder • Meds: rifampin,
: • Any cause of ... Pseudomonas • Meds ... dyes typically cause ... Differential #Diagnosis #urinalysis ... discoloration #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
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