15 results
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Approach to Acute Kidney ... cases are caused ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts ... , crystals, protein
Crystal cast in patient with AKI and TLS on Urine Microscopy

Randy Luciano MD, PhD @RandyLucianoMD

#TLS #Crystal
Crystal cast in ... patient with AKI ... and TLS on Urine ... #casts #crystalluria ... #Urine #Microscopy
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
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
white blood cell casts ... renal tubular cell casts ... or pigmented casts ... Intrarenal: stones, crystals ... #Injury #AKI #Differential
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Urinalysis & Urine ... Microscopic exam ... • Urinary casts ... #Urinalysis #crystals ... #UNa #casts #glucosuria
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Guide to Acute Kidney ... CBC w/ diff - Urinalysis ... /microscopy/UOP/ ... weights - Urine ... #Nephrology #Diagnosis
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Kidney Injury (AKI ... Algorithm Acute Kidney ... Epithelial cell casts ... myeloma) • Urate crystals ... polyangiitis /microscopic
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... acute and chronic kidney ... #Urine #Microscopy ... #nephrology #interpretation
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... microscopy / urinary ... osmolarity If cause ... imaging #Acute #Kidney ... #causes
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
sediment Microscopic ... (Urinalysis or ... hematuria: - RBC casts ... microscopic and ... #urology #nephrology