Urine for a treat: Urinary sediment 201 - Clinical Cases

04/17/23 • 26 min

In this episode Drs. Young, Mortaji and Ambruso again invite Dr. Juan Carlos Velez, acclaimed nephrologist and self-proclaimed "piss-prophet" Dr. Juan Carlo Velez to discuss specific cases and how urinalysis and urinary sediment help the diagnosis. Dr. Juan Carlo Velez is the Department Chair at Oschner Medical Center in New Orleans, LA. You can find Dr. Velez's other podcast at "Channel Your Enthusiasm - The Burton Rose Book Club". Check out Dr. Velez at his Twitter handle @VelezNephHepato
Edited by: Parisa Mortaji, MD and Sophia Ambruso, DO

Sophia Ambruso DO @Sophia_Kidney, Sarah Young MD @kidneycritic, Judy Blaine MD, Parisa Mortaji, MD

Sophia Ambruso DO @Sophia_Kidney, Sarah Young MD @kidneycritic, Judy Blaine MD, Parisa Mortaji, MD

Previous Episode

Can you still drink milk if you have calcium oxalate stones?

In this episode, Drs. Sophia Ambruso and Sarah Young welcome a new addition to the Kidney Essentials team, Dr. Parisa Mortaji! We also discuss why we care about nephrolithiasis (kidney stones) with a specific emphasis on calcium oxalate stones, why people form stones (hint: it's in the urine!!) as well as dietary counseling and additional medical interventions that improves stone absorption and prevents further stone formation!

Sophia Ambruso DO @Sophia_Kidney, Sarah Young MD @kidneycritic, Judy Blaine MD, Parisa Mortaji, MD

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Peak your Ts, flatten your Ps, widen your QRS: The ABCs of hyperkalemia

In this episode, Drs. Mortaji, Ambruso and Young discuss the nuances of hyperkalemia diagnosis and management.

Sophia Ambruso DO @Sophia_Kidney, Sarah Young MD @kidneycritic, Judy Blaine MD, Parisa Mortaji, MD

Kidney Essentials - Urine for a treat: Urinary sediment 201 - Clinical Cases

Transcript

Last podcast we discussed urine sediment, this podcast we are going to do some clinical cases and discuss how the urinary sediment helps

Well with that lets jump into a case 1

A 55 yo male is admitted to the hospital with 5 days of nausea and vomiting. His baseline creatinine is 0.8mg/dL but on arrival to the ER his creatinine is 1.3mg/dL. His BP is 90/45 HR 110 He is making some urine and is able to provide a sample. Urine microscopy revea