24 results
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
sediment Microscopic ... sediment by microscopy ... : • Flank pain ... microscopic and ... #urology #nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... repeat testing • Acute ... unilateral flank pain ... if cause not identified ... #Diagnosis #Algorithm
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... to Acute Interstitial ... eosinophiluria, microscopic ... hematuria, mild ... #Algorithm #nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
the patient has hematuria ... (RBC casts or dysmorphic ... RBCs in urine)? ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Sulfa Crystals on Urine Microscopy
Sulfa Crystal!  Drug-induced crystalluria is a cause of acute renal failure
Microscopy Sulfa ... crystalluria is a cause ... of acute renal ... little solubles in ... #clinical #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... microscopy / urinary ... osmolarity If cause ... #causes
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... which may cause ... may cause aspiration ... #Management #Neurology ... Refractory #Seizures #Algorithm
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... tubular cells - Acute ... also be seen if urine ... protein indicating acute ... key #diagnosis #nephrology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... a variety of acute ... #Urine #Microscopy ... #nephrology #interpretation
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Simplified Approach to Acute ... IMPROVEMENT If the urine ... CONSIDER INTRINSIC CAUSES ... Assess UA w/ microscopy ... LorinskyMD #AKI #Acute