6 results
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... and chronic kidney ... • RBC Casts - ... suggestive of interstitial ... #Urine #Microscopy
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... Interstitial Nephritis ... sterile pyuria, WBC ... , microscopic hematuria ... Algorithm #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury ( ... 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
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
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Classification: • Acute ... non-nephrotic proteinuria, hematuria ... edema, active urine ... • Libman-Sacks endocarditis ... lymphopenia, low PLT • Anemia