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diagnosis nephrology differential aki algorithm acute hematuria workup urology hepatology injury instructions kidneyinjury management urinary acutekidneyinjury alkaline alp arthritis atlas
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
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
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Acute Kidney Injury ... cell casts on UA ... renal tubular cell casts ... or pigmented casts ... Intrarenal: stones, crystals
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
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... (Urinalysis or ... hematuria: - RBC casts ... #urology #nephrology ... blood
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Confirm hematuria → Urinalysis ... WBCs, or urine ... proteinuria, RBC casts ... if cause not identified ... #blood #urine
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
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Approach to Acute Kidney ... PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts ... , crystals, protein
Urine Microscopy Instructions - How to spin urine 1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... the better, as casts ... perform a quick urinalysis ... #Urine #Microscopy ... #Nephrology #Preparation
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Investigations: full blood ... microscopy / urinary ... osmolarity If cause ... #causes
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