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differential algorithm acute nephrotic workup management treatment casts hyponatremia nephritic proteinuria renal blood classification glomerulonephritis hematuria hyperkalemia injury kidney kidneyinjury
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... - Diagnostic of ... renal disease • Granular ... #key #diagnosis ... #nephrology #casts
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... syndrome: • Flank pain ... → Diagnostic of ... #Differential #Diagnosis ... #nephrology #renal
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
sensitive) • AKI ... eosinophiluria, microscopic ... tubular proteinuria, granular ... #Algorithm #nephrology ... #diagnosis
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... IMPROVEMENT If the urine ... you confirmed diagnosis ... Assess UA w/ microscopy ... #nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... UOP/weights - Urine ... rhabdo/TLS) Causes ... #Nephrology #Diagnosis ... #Algorithm #Causes
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... Granular - May ... Muddy-brown" heme-granular ... #Differential #Microscopy ... #Diagnosis #Nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... • Drugs Glomerular ... polyangiitis (GPA) / microscopic ... #Proteinuria #Nephrology ... #Algorithm #Causes
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
and Differential Diagnosis ... microscopy / urinary ... osmolarity If cause ... #Differential #Diagnosis ... #nephrology #causes
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... ) • Granular Casts ... #Urine #Microscopy ... #nephrology #interpretation ... #diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... unilateral flank pain ... • Evidence of glomerular ... → Refer to Nephrology ... if cause not identified
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