617 results
RBC Casts on Urine Microscopy

Dr. Telma Lemos @TELMALEMOS10

#RBC #Casts #Urine #Microscopy #clinical #nephrology
RBC Casts on Urine ... TELMALEMOS10 #RBC ... Urine #Microscopy #clinical ... #nephrology
"Normal Kidney" by Renalfellow.org

#Pocus #nephrology #kidney #ultrasound #diagnosis #management #clinical
Renalfellow.org #Pocus ... #nephrology #kidney ... #ultrasound #diagnosis ... #management #clinical
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... urine sediment - WBC ... /RBC casts ... #Proteinuria #Nephrology ... #Differential #Diagnosis
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... of UTI, urine WBCs ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... uw_IMresidency #Hematuria #Diagnosis
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
PMN > 250 • Treatment ... at least 2): 1) Clinical ... cloudy effluent) 2) WBC ... > 100 WBC, >50% ... Secondary #Peritoneal #diagnosis
Hydronephrosis Grading
Grade I - Pelviectasis 
Grade II - Caliectasis (Major Calyces)
Grade III - Caliectasis (Minor Calyces)
Grade
Thinning - POCUS ... Grading #grades #nephrology ... radiology #ultrasound #pocus ... #clinical #diagnosis
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Normal: < 1% Clinically ... Differential Diagnosis ... counts may delay diagnosis ... likelihood of negative clinical ... #differential #diagnosis
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
sterile pyuria, WBC ... AIN #Algorithm #nephrology ... #diagnosis
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Cellular Casts: • RBC ... glomerulonephritis • WBC ... Urine #Microscopy #nephrology ... interpretation #diagnosis
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
glomerular hematuria (RBC ... Comparison #Algorithm #Nephrology ... #Diagnosis