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diagnosis differential algorithm acute causes clinical hematuria management blood casts checklist renal treatment trichomoniasis urology acutekidneyinjury admissions admitting anesthesia anesthesiology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
e.g AEIOU ) or anuria ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... for WBCs, RBCs, ... KidneyInjury #simplified #workup
Trichomonas on Urine Microscopy Trichomonas organisms adjacent to mixed cellular cast containing WBC's, tubular epithelial cells, and
Trichomonas on Urine ... Microscopy Trichomonas ... RBC - brightfield ... from patient with AKI ... #Trichomonas #Urine
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 Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
When to suspect AIN ... sensitive) • AKI ... sterile pyuria, WBC ... eosinophiluria, microscopic ... #Algorithm #nephrology
Glitter Cells on Urine Microscopy Glitter cells in the urine are viable and pale staining WBCs with
Microscopy Glitter ... cells in the urine ... pale staining WBCs ... #Microscopy #clinical ... #nephrology
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 Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- BMP, cap, CBC ... - Urinalysis/microscopy ... UOP/weights - Urine ... Liano 1996) - ATN ... #Nephrology #Diagnosis
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... unilateral flank pain ... WBCs, or urine ... → Refer to Nephrology ... Diagnosis #Algorithm #Workup
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... Workup Algorithm ... microscopy / urinary ... #Workup #Algorithm ... Differential #Diagnosis #nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... Cellular Casts: • RBC ... glomerulonephritis • WBC ... EricsMedicalLectures/ #Casts #Urine ... #Microscopy #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
sediment Microscopic ... sediment by microscopy ... syndrome: • Flank pain ... + gross or microscopic ... causes #urology #nephrology
Trichomonad on Urine Microscopy Trichomonad adjacent to RBC cast - brightfield with SM stain - from patient
Trichomonad on Urine ... Microscopy Trichomonad ... adjacent to RBC ... from patient with AKI ... and endocarditis in
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