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diagnosis algorithm hyponatremia acute aki casts clinical hematuria kidneyinjury proteinuria sodium workup acutekidneyinjury atlas blood cancer cells glitter glomerular injury
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Urine Microscopy ... “urine poker quads ... #Casts #Urine # ... Microscopy #Clinical ... #Nephrology #Sediment
Glitter Cells on Urine Microscopy Glitter cells in the urine are viable and pale staining WBCs with
Microscopy Glitter ... cells in the urine ... with cytoplasmic granular ... hypotonic urine ... #nephrology
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 Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Granular - May ... #Differential # ... Microscopy #Diagnosis ... #Nephrology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Acute Interstitial Nephritis ... eosinophiluria, microscopic ... tubular proteinuria, granular ... sediment • Received ... #nephrology #diagnosis
Rouleaux in urine sediment - Urine Microscopy Rouleaux in urine sediment. As the finding in the blood
Rouleaux in urine ... sediment - Urine ... in urine sediment ... smears, it is caused ... #sediment #Microscopy
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
Causes of Hematuria ... - Differential ... blood cells on urine ... microscopy. ... and >3.5g/day (nephrotic
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... sediment Microscopic ... sediment by microscopy ... #Hematuria #Differential ... #urology #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... - Differential ... sediment - WBC/ ... polyangiitis (GPA) / microscopic ... #Proteinuria #Nephrology
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... - Differential ... Volume (>2ml/min ... #Polyuria #Nephrology ... #Differential #
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of nephrotic ... ) • Granular Casts ... #Urine #Microscopy ... #nephrology #interpretation
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