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differential infectiousdiseases cardiology endocarditis management urine acute aki common dermatology distribution dysuria fever fungal hypernatremia ia interpretation invasive key kidneyinjury
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... • Red cell casts ... casts - Any type ... #Atlas #key #diagnosis ... #nephrology #casts
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... Casts • Hyaline ... colored compounds (e.g ... #nephrology #interpretation ... #diagnosis
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
dialysis indication (e.g ... Nephrotoxic drugs (e.g ... PROBLEM ~80% of AKI cases ... Assess UA w/ microscopy ... for WBCs, RBCs, casts
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... • Hypertonic saline ... Polyuria scheme) e.g ... Hypernatremia #Nephrology ... #Algorithm #Causes
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
sediment - WBC/RBC casts ... polyangiitis (GPA) / microscopic ... Protein deposition (eg ... #Proteinuria #Nephrology ... #Algorithm #Causes
Causes of Dysuria - Differential Diagnosis Algorithm Pyuria - Leukocytes on Dipstick/Microscopy - Bacteriuria & Hematuria -
- Differential Diagnosis ... Algorithm Pyuria ... Pyelonephritis - WBC Casts ... Non-Gonococcal (e.g ... #Algorithm #Causes
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
infections are caused ... immunosuppression (eg ... Non-pigmented (hyaline ... sometimes have this morphology ... considered in certain cases
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Hypercoagulable (APLAS ... positive in 90% of IE cases ... Tropheryma Whipplei • Aspergillus ... Septic Emboli Cause ... ↑ ESR, CRP • EKG
Common Dermatological Conditions - Distribution and Morphology • Acne vulgaris - Face, upper back, chest -
Distribution and Morphology ... papules, pustules, cysts ... and pruritus (e.g ... Varies with site, (e.g ... #differential #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Hypercoagulable (APLAS ... positive in 90% of IE cases ... Tropheryma Whipplei • Aspergillus ... ↑ ESR, CRP • EKG
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