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differential management treatment neurology workup algorithm anesthesia checklist intraoperative casts hyperkalemia hypernatremia infectiousdiseases polyuria proteinuria syndrome syndromes acute aki alice
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... - Diagnostic of ... infection • Hyaline ... #Microscopy #Atlas ... #nephrology #casts
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... - Differential Diagnosis ... • Hypertonic saline ... Polyuria scheme) e.g ... Hypernatremia #Nephrology
Urine Microscopy Instructions 1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy ... 1) Spin fresh urine ... slide with a cover ... under lower power (casts ... #nephrology #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 ... IMPROVEMENT If the urine ... Assess UA w/ microscopy ... #nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... Casts • Hyaline ... colored compounds (e.g ... #Urine #Microscopy ... #diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... polyangiitis (GPA) / microscopic ... Protein deposition (eg ... #Proteinuria #Nephrology ... #Differential #Diagnosis
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... - Differential Diagnosis ... concentration (e.g ... #Polyuria #Nephrology ... #Algorithm #Causes
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
(Many causes!) ... • Infection (e.g ... Brain lesions (e.g ... Wonderland #Syndrome #diagnosis ... #neurology #differential
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Associations Hyaline ... and concentrated urine ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
Red Blood Cell (RBC) Morphology Microcytic RBC: Pyridoxine deficiency, Thalassemia, Iron deficiency anemia, Chronic disease anemia (sometimes),
Blood Cell (RBC) Morphology ... Chemotherapy (e.g ... #differential #diagnosis ... #hematology #microscopy ... #atlas #nomenclature
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