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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Glitter Cells on Urine Microscopy
Glitter cells in the urine are viable and pale staining WBCs with
Glitter Cells on Urine ... Microscopy Glitter ... depends on the low ... #Microscopy #clinical ... #nephrology
β–Ί
Kidney stone type, corresponding urine sediment, urinary risk factors, and associated clinical settings.
#Diagnosis #Nephrology #Urine #Microscopy
corresponding urine ... #Diagnosis #Nephrology ... #Urine #Microscopy
Granular & β€œMuddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Brown” Casts on Urine ... Microscopy A. ... appreciated at low ... #Microscopy #Clinical ... #Nephrology #Sediment
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology ... #Diagnosis
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 β€’ Urine Chloride
 β€’ Urine Ca/Cr ratio

Dr. Krithika
from Bartter syndrome ... β€’ Urine Chloride ... β€’ Urine Ca/Cr ... Bartter #Algorithm #nephrology ... #hypokalemia #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
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Low-normal EABV ... , Low Plasma HCO3 ... Plasma HCO3- β€’ Low ... differential #algorithm #diagnosis ... #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
uric acid: - Urine ... sodium low, uric ... and uric acid low ... Differential #Algorithm #Diagnosis ... #Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
and Differential Diagnosis ... microscopy / urinary ... β€’ Cardio-renal syndrome ... #Differential #Diagnosis ... #nephrology #causes
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential Diagnosis ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... #Algorithm #nephrology