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diagnosis nephrology differential kidneyinjury acutekidneyinjury ain atlas blood hematuria injury interpretation interstitial key kidney nephritis simplified urinary urology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sensitive) • AKI ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... tubular proteinuria, granular ... casts/RTE; blend
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... in a variety of acute ... ) • Granular Casts ... #Urine #Microscopy
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... microscopy / urinary ... #Workup #Algorithm ... #causes
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... renal disease • Granular ... #casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
cases are caused ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... #simplified #workup
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... repeat testing • Acute ... proteinuria, RBC casts ... if cause not identified ... #Workup #urology
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... casts are seen ... in acute tubular ... 34t5DgJ #Urinary #Casts
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... (AKI) - Acute increase ... Epithelial cell casts ... Obstruction • Cast ... polyangiitis /microscopic
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... - Urinalysis/microscopy ... UOP/weights - Urine ... #Nephrology #Diagnosis ... #Algorithm #Causes
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