12 results
diagnosis differential urine algorithm workup aki blood cardiology casts causes endocarditis renal rheumatology urology acutekidneyinjury ain arthritis crystals dipstick disease
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... sterile pyuria, WBC ... eosinophiluria, microscopic ... hematuria, mild ... AIN #Algorithm #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
: 3 or more RBC/ ... urine sediment Microscopic ... urine sediment by microscopy ... pain + gross or microscopic ... causes #urology #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... repeat testing • Acute ... of UTI, urine WBCs ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... in a variety of acute ... glomerulonephritis • WBC ... #nephrology #interpretation
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... e.g AEIOU ) or anuria ... require urgent nephrology ... Assess UA w/ microscopy ... for WBCs, RBCs,
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... - BMP, cap, CBC ... - Urinalysis/microscopy ... AcuteKidneyInjury #AKI #Nephrology
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Dyspnea, Fever, Hematuria ... polyangiitis, Microscopic ... Investigations • Labs: CBC ... differential #diagnosis #nephrology
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... Red blood cells (RBC ... Acute Kidney Injury ... Acute Tubular Necrosis ... casts #glucosuria #hematuria
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS) Microbiology ... Culture (+): Acute ... Leukocytosis, anemia ... , and hematuria,
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Classification: • Acute ... Pleural effusions • Acute ... non-nephrotic proteinuria, hematuria ... lymphopenia, low PLT • Anemia ... titers > 1:80 • CBC
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