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diagnosis pediatrics differential management causes nephrology pemsource clinical infant em workup fever treatment urine ddxof headct headtrauma microscopy neurology pecarn
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 ... coarser granular cast ... (c) and muddy brown
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... • "Muddy Brown ... " Casts - Strongly
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
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
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
microscopy • Red cell casts ... • White cell casts ... disease • Granular casts ... disease • “Muddy brown ... cast” - Necrotic
Infant UTI Algorithm (<8 weeks of age) Emergency Medicine Cases @EMCases #Infant #Pediatric #UTI #Algorithm #Diagnosis #Management #UrinaryTractInfection
Infant UTI Algorithm ... Emergency Medicine Cases ... Pediatric #UTI #Algorithm ... UrinaryTractInfection #Peds
Pediatric UTI Algorithm (2-24 months of age) Risk stratify with UTI Calc: - Age months
Pediatric UTI Algorithm ... Emergency Medicine Cases ... Pediatric #UTI #Algorithm ... UrinaryTractInfection #Peds
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... "Muddy-brown" heme-granular ... casts are seen ... 34t5DgJ #Urinary #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
Toxidrome Algorithm #Diagnosis #Peds #Pediatrics #Toxidrome #Algorithm #PEMSource
Toxidrome Algorithm ... #Diagnosis #Peds ... Pediatrics #Toxidrome #Algorithm
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