16 results
Acanthocytes in motion on Urine Microscopy - Phase Contrast

Dr. Jay R. Seltzer @jrseltzer

#Acanthocytes #motion #Urine #Microscopy
Acanthocytes in ... motion on Urine ... Seltzer @jrseltzer #Acanthocytes ... #motion #Urine ... Microscopy #clinical #nephrology
Acanthocyte on Urine Microscopy

Not a spaceship, not a UFO, just an acanthocyte caught “flying” in dark
Acanthocyte on Urine ... a UFO, just an acanthocyte ... VelezNephHepato #Acanthocyte ... #Urine #Microscopy ... #clinical #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
presenting with overt glomerular ... arbitrarily defined as urine ... high-power field + acanthocytes ... because nephritic urine ... nephrotic #syndrome #nephrology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
the patient have glomerular ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine ... → Urine culture ... • Evidence of glomerular ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... red - cells Non-glomerular ... also be seen if urine ... Diagnostic of glomerular ... key #diagnosis #nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
or dipstick) Glomerular ... • Causes of Glomerular ... hematuria • Signs of glomerular ... Suggestive of glomerular ... causes #urology #nephrology
Acanthocyte on Urine Microscopy

3D view of acanthocyte in a patient with hydralazine-induced vasculitis

Dr. Muner Mohamed @MunerMohamed1

#Acanthocyte
Acanthocyte on Urine ... 3D view of acanthocyte ... MunerMohamed1 #Acanthocyte ... #Urine #Microscopy ... #clinical #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
Glomerular Diseases ... RBC casts in urine ... diabetes)) #Glomerular ... #Proteinuria #Nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Proteinuria (Negative urine ... • Drugs Glomerular ... Proteinuria (Positive urine ... albuminuria) - Active urine ... #Proteinuria #Nephrology