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diagnosis nephrology urine clinical differential aki algorithm kidneyinjury pathology urinalysis abscess ain amebic atlas bloodsmear borrelia causes clinicopathology crystals ct
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... suggestive of acute ... in a variety of acute ... #Urine #Microscopy
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... tubular cells - Acute ... fresh at time of microscopy ... protein indicating acute ... contamination #Urine #Microscopy
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach to Acute ... sterile pyuria, WBC casts ... eosinophiluria, microscopic ... proteinuria, granular casts ... MatthewHoMD #Acute
Urine Microscopy Instructions - How to spin urine 1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... the better, as casts ... the slide on the microscope ... and start exploring ... #Urine #Microscopy
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Injury (AKI) - Acute ... Epithelial cell casts ... Obstruction • Cast ... polyangiitis /microscopic
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... are seen in acute ... #Differential #Microscopy
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... PROBLEM ~80% of AKI cases ... Assess UA w/ microscopy ... for WBCs, RBCs, casts ... LorinskyMD #AKI #Acute
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... • Urinary casts ... Acute Kidney Injury ... Acute Tubular Necrosis ... leucocyte-esterase #urine #UNa #casts
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Northeast Africa with cases ... Several cases have ... of blood smear, acute ... often experience acute ... recurrentis #BloodSmear #microscopy
Floaters - Differential Diagnosis Framework What? Vitreous Floaters: • Microscopic collagen fibers within the vitreous that tend to clump
Vitreous Floaters: • Microscopic ... tend to clump and cast ... • Acute-onset
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