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diagnosis nephrology differential acute aki instructions kidneyinjury urinalysis atlas checklist dermatology dipstick examination glucosuria hematuria key leucocyteesterase nitrite petechiae petechial
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... • White cell casts ... disease • Granular casts ... #casts
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... , crystals, protein
Urine Microscopy - Urinary Sediment Examination Instructions Preparation of the urine for microscopic examination: • Clean catch
Urine Microscopy ... conical bottom test ... up by cells or casts ... Ill stain) and crystals ... protein matrix of casts
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Clarity Dipstick test ... Microscopic exam ... • Crystals ... • Urinary casts ... #UNa #casts #glucosuria
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Differential Diagnosis Algorithm ... sediment - WBC/RBC casts ... polyangiitis (GPA) / microscopic ... #Proteinuria #Nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Epithelial cell casts ... myeloma) • Urate crystals ... polyangiitis /microscopic ... #Causes
Urine Microscopy Instructions - How to spin urine 1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... the better, as casts ... sample with a test ... #Urine #Microscopy ... Procedure #Urinalysis #Nephrology
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Sjogren's, GPA, EGPA, Microscopic ... Fecal occult blood test ... • Serology for ... #physicalexam
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