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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Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 β€’ Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Diagnosis Framework ... , Distributive Shock ... #Diagnosis #nephrology
Atlas of Urine Microscopy Findings
 β€’ Epithelial cells - Normal
 β€’ Renal tubular cells - Acute
tubular cells - Acute ... - Diagnostic of ... protein indicating acute ... disorders or excreted medications ... #nephrology #casts
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... repeat testing β€’ Acute ... proteinuria, RBC casts ... β†’ Refer to Nephrology ... cystoscopy β€’ Refer to Nephrology
Urine Microscopy - Casts
Acellular Casts
 β€’ Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... in a variety of acute ... #nephrology #interpretation ... #diagnosis
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... dysmorphic RBCs in urine ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... are seen in acute ... edgarvlermamd - Nephrology ... #Differential # ... #Nephrology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... edgarvlermamd - Nephrology ... Syndrome #Nephritic #Comparison ... #Table #Nephrology ... #Diagnosis
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis
 - Prerenal
 - ATN
 - AIN
 -
Acute Kidney Injury ... AKI #Urinalysis #diagnosis ... #table #comparison ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Algorithm and Differential ... Diagnosis Baseline ... cardiac imaging #Acute ... #Diagnosis #nephrology
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... FENa) could help differentiate ... performance for diagnosing ... acute tubular interstitial ... AcuteKidneyInjury #Nephrology