4 results
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Interstitial Nephritis ... sterile pyuria, WBC ... , microscopic hematuria ... Nephritis #AIN # ... #diagnosis
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... and chronic kidney ... suggestive of nephrotic ... #Urine #Microscopy ... #diagnosis
SLE (Systemic Lupus Erythematosus)

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