11 results
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... • RBC Casts - ... #Urine #Microscopy ... #nephrology #interpretation
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
repeat testing • Acute ... unilateral flank pain ... WBCs, or urine ... casts, dysmorphic ... → Refer to Nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Microscopic ... sediment by microscopy ... : • Flank pain ... : - RBC casts ... causes #urology #nephrology
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... sterile pyuria, WBC ... casts, eosinophiluria ... , microscopic hematuria ... #Algorithm #nephrology
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 ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs,
Urinalysis & Urine Sodium 
Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... Red blood cells (RBC ... • Urinary casts ... Acute Kidney Injury ... #hematuria
Approach to Microscopic Hematuria 

Microscopic hematuria is often incidental but may be associated with urologic malignancy.
Hematuria Microscopic ... RBC's, cellular casts ... ≥ 3 RBC/TIPF on ... properly collected urine ... #management #urology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
, proteinuria, hematuria ... : UA, Urine protein ... or gross hematuria ... , RBC casts, low ... differential #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
90% of IE cases ... Culture (+): Acute ... Leukocytosis, anemia ... , and hematuria, ... #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Hypercoagulable (APLAS) Microbiology ... 90% of IE cases ... Culture Positive: • Acute ... Leukocytosis, anemia ... , and hematuria,