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nephrology differential cardiology clinical jvp acute microscopy neck video aki blood criticalcare hematuria kussmauls management nephritis nephrotic proteinuria syndrome treatment
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
microscopy • Red cell casts ... • White cell casts ... infection • Hyaline casts ... disease • Granular casts ... #nephrology #casts
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... Algorithm Persistent ... Tall adolescents Tubular ... sediment - WBC/RBC casts ... #Algorithm #Causes
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute tubular ... #Urine #Microscopy ... #nephrology #interpretation ... #diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... Algorithm • Confirm ... proteinuria, RBC casts ... if cause not identified ... #Algorithm #Workup
Abnormal Jugular Venous Pressure (JVP) Algorithm Outward Wave / Peak • With Every Beat
Abnormal Jugular ... Pressure (JVP) Algorithm ... Fusion of Lancisi Sign ... #diagnosis #cardiology ... #physicalexam
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... hematuria, mild tubular ... proteinuria, granular casts ... #nephrology #diagnosis
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... breakdown of cellular casts ... heme-granular casts ... 34t5DgJ #Urinary #Casts
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
- Differential Diagnosis ... Algorithm Acute ... Epithelial cell casts ... Obstruction • Cast ... #Algorithm #Causes
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria (RBC casts ... dysmorphic RBCs in urine ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Kussmaul's Sign on Physical Exam What’s the diagnosis? Severe biventeicular failure with + Kussmaul sign! NICM. No constriction! -
What’s the diagnosis ... and other rarer causes ... #physicalexam # ... clinical #video #jvp #cardiology ... #neck #jugular
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