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diagnosis workup aki algorithm blood casts causes differential rheumatology acutekidneyinjury arthritis crystals dipstick disease erythematosus glucosuria interpretation kidneyinjury laboratory leucocyteesterase
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
repeat testing • Acute ... unilateral flank pain ... WBCs, or urine ... → Refer to Nephrology ... and referral to Urology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Microscopic ... sediment by microscopy ... : • Flank pain ... Diagnosis #causes #urology ... #nephrology #renal
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... and chronic kidney ... glomerulonephritis • WBC ... #Microscopy #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,
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... - BMP, cap, CBC ... - Urinalysis/microscopy ... UOP/weights - Urine ... AcuteKidneyInjury #AKI #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
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Kidney Stones Acute ... Managment: • Pain ... Surgical Rx: • ACUTE ... , Obstruction, Anuria ... #Pediatrics #nephrology
Approach to Microscopic Hematuria Microscopic hematuria is often incidental but may be associated with urologic malignancy.
Hematuria Microscopic ... associated with urologic ... ≥ 3 RBC/TIPF on ... properly collected urine ... #management #urology
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 ... lymphopenia, low PLT • Anemia ... C4) • ds-DNA: Kidney
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
polarized light microscopy ... the presence of anemia ... Screening Tests for Acute ... Complete blood count (CBC ... • Serum and urine
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