345 results
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy Brown ... ” Casts on Urine ... Finely granular cast ... (c) and muddy brown ... Microscopy #Clinical #Nephrology
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast.

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... Casts three ways ... vipvargh #Muddy #Brown ... #Granular #Casts ... microscopy #MBGC #nephrology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... • "Muddy Brown ... Urine #Microscopy #nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
• White cell casts ... disease • “Muddy brown ... cast” - Necrotic ... key #diagnosis #nephrology ... #casts
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... "Muddy-brown" heme-granular ... casts are seen ... edgarvlermamd - Nephrology ... Microscopy #Diagnosis #Nephrology
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/waxy mixed casts ... granular/muddy brown ... C and D: muddy brown ... Granular #MuddyBrown #Casts
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... proteinuria, RBC casts ... → Refer to Nephrology ... Hematuria #Diagnosis #Algorithm ... #Workup #urology
Central Cord Syndromes
 - Anterior Cord Syndrome
 - Central Cord Syndrome
 - Brown Sequard Syndrome

#CentralCord #Syndromes
Cord Syndrome - Brown ... #BrownSequard #Neurology
Algorithm for diagnostic evaluation of patients with kidney cysts and polycystic kidney disease

#polycystic #kidney #disease #cysts
Algorithm for diagnostic ... patients with kidney cysts ... kidney #disease #cysts ... #Algorithm #diagnosis ... #ADPKD #nephrology