17 results
diagnosis differential algorithm management hyperkalemia hypokalemia medications microscopy potassium proteinuria renal treatment acute aki atlas blood comparison diuresis diuretics encephalopathy
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... of mb granular casts ... field compared to high ... Granular #MuddyBrown #Casts ... #Clinical #Nephrology
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
• White cell casts ... disease • Granular casts ... disorders or excreted medications ... key #diagnosis #nephrology ... #casts
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Fanconi's syndrome ... • Drugs ... sediment - WBC/RBC casts ... #Proteinuria #Nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... PROBLEM ~80% of AKI cases ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts ... workup #diagnosis #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
disease - Alport syndrome ... pain hematuria syndrome ... hematuria: - RBC casts ... Postpartum • Drugs ... #urology #nephrology
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
- Insulin (high ... renal Fanconi syndrome ... hypomagnesemia #Medications ... differential #diagnosis #nephrology ... #Causes #hypomg
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
hemolytic-uremic syndrome ... arbitrarily defined as urine ... red blood cells/high-power ... cell/white cell casts ... #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... - Toxins - Drugs ... Dermatomyositis Clinical ... Cast formation: ... #treatment #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
reactions Common Drugs ... - Tumor lysis syndrome ... Medications 2. ... differential #diagnosis #causes ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... diuresis can be high ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
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