Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy
Kidney stone type ... corresponding urine ... #Diagnosis #Nephrology ... #Urine #Microscopy ... #Urinary #Kidney
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... microscopy / urinary ... clinical context and signs ... #Differential #Diagnosis
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 ... one drop on a microscope ... iMedEducation #Urine ... #nephrology #diagnosis
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... acute and chronic kidney ... EricsMedicalLectures/ #Casts #Urine ... #Microscopy #nephrology ... interpretation #diagnosis
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... broad - Advanced kidney ... edgarvlermamd - Nephrology ... #Differential #Microscopy ... #Diagnosis #Nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... retrieve stone using urine ... Stones #Management #Pediatrics ... #nephrology #nephrolithiasis
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... Red cell casts - Diagnostic ... #key #diagnosis ... #nephrology #casts
Urine Specific Gravity - Interpretation
Specific Gravity = Density of urine / Density of water
SG close to
Urine Specific Gravity ... Gravity = Density of urine ... 1.010: β€’ Advanced kidney ... Interpretation #diagnosis ... #differential #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Kidney ... Cl- outside the kidneys ... high in kidney ... #Algorithm #nephrology ... #differential #diagnosis
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Totally scuppers the kidney's ... much easier to diagnosis ... with direct urine ... Failure to acidify urine ... #Management #Nephrology