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diagnosis differential hematuria hyponatremia aki blood management siadh treatment workup acute acutekidneyinjury casts crystals dipstick discoloration glucosuria hypotonic injury kidney
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... Microscopic exam ... < 1% Urine sodium ... > 2% Urine sodium ... #UNa #casts #glucosuria
Urine Color - Differential Diagnosis Red Urine: • Medical conditions: bleeding, porphyria, factitious disorder • Meds: rifampin,
Urine Color - Differential ... : • Any cause of ... dyes typically cause ... #Diagnosis #urinalysis ... discoloration #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
can induce color ... sediment Microscopic ... (Urinalysis or ... 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 ... if cause not identified ... #Workup #urology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... microscopy / urinary ... osmolarity If cause ... 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 ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
promoting passive sodium ... bacteria in the colon ... Saline: • If Urine ... osmolality < 538 AND UNa ... #hyponatremia #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... or Ineffective (UNa ... #nephrology
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treat underlying cause ... promoting passive sodium ... bacteria in the colon ... osmolality < 538 AND UNa ... #hyponatremia #nephrology
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