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 ... sediment, urinary ... #Diagnosis #Nephrology ... #Urine #Microscopy ... #Urinary #Kidney
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... Surgical Rx: β€’ ACUTE ... Targeted Rx: β€’ PRIMARY ... #Pediatrics #nephrology
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 ... #Kidney #Injury
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
Atlas of Urine Microscopy ... tubular cells - Acute ... Red cell casts - Diagnostic ... #key #diagnosis ... #nephrology #casts
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... casts are seen in acute ... broad - Advanced kidney ... #Differential #Microscopy ... #Diagnosis #Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 β€’ Due to true volume loss or decreased
Acute Kidney Injury ... - Differential Diagnosis ... stone β€’ Tumor ... Trauma to the urinary ... #nephrology
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... and chronic kidney ... #Microscopy #nephrology ... interpretation #diagnosis
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Simplified Approach to Acute ... Kidney Injury ( ... circulating volume, Urinary ... IMPROVEMENT If the urine ... Assess UA w/ microscopy
Metabolic Causes of Kidney Stones in Children
 β€’ Calcium Oxalate: Primary Hyperoxaluria type 1-3, Secondary Hyperoxaluria
Metabolic Causes of Kidney ... Stones in Children ... Calcium Oxalate: Primary ... #Stones #pediatrics ... #diagnosis