Diagnostic Utility of Urine Microscopy in Kidney Diseases.

Indian J Nephrol

Department of Nephrology, NIMS, Hyderabad, Telangana, India.

Published: May 2024

AI Article Synopsis

  • Urine sediment analysis is a simple and cost-effective diagnostic tool that is underused but vital for diagnosing kidney diseases, especially acute kidney injury (AKI).
  • AKI can lead to serious complications, including higher mortality, longer hospital stays, and increased healthcare costs, making timely identification crucial.
  • Automated urine analysis has limitations in detecting critical indicators like pathological casts and dysmorphic red blood cells, highlighting the importance of mastering traditional urine sediment analysis for better patient care.

Article Abstract

Urine sediment analysis is a highly valuable yet underutilized test in today's advanced medical landscape. The analysis of urine sediment is a simple, cost-effective, and powerful diagnostic tool in the hands of a skilled nephrologist, generally in all kidney diseases and particularly more so in the setting of acute kidney injury (AKI). The impact of AKI is far-reaching and encompasses elevated mortality rates, increased morbidity, longer hospital stays, and higher overall healthcare expenses. Timely and compartmental diagnosis of AKI with the use of a simple urine sediment analysis leads to targeted therapeutic strategies and also serves as a prognostic guide. The widespread use of automated analysis in recent times has its own set of limitations, as it fails to identify pathological casts, crystals, and dysmorphic red blood cells (RBCs). Hence, it is the need of the hour to learn this time-honored art of urine sediment analysis, to provide comprehensive patient care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11303840PMC
http://dx.doi.org/10.25259/ijn_362_23DOI Listing

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