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Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast.

Dr. Vipin Varghese @vipvargh

#Muddy #Brown #Granular
Muddy Brown Granular ... vipvargh #Muddy #Brown ... Casts #clinical #urine ... microscopy #MBGC #nephrology
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy Brown ... ” Casts on Urine ... “urine poker quads ... (c) and muddy brown ... Microscopy #Clinical #Nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine ... → Urine culture ... and referral to Urology ... Algorithm #Workup #urology ... #blood #urine
Central Cord Syndromes
 - Anterior Cord Syndrome
 - Central Cord Syndrome
 - Brown Sequard Syndrome

#CentralCord #Syndromes
Cord Syndrome - Brown ... #BrownSequard #Neurology
Causes of Abnormal Urine Colors - Differential Diagnosis
Blue-Green - Yellow - Orange - Pink - Red
Causes of Abnormal Urine ... - Pink - Red - Brown ... White - Purple #Urine
Urine Color - Differential Diagnosis
Red Urine:
 • Medical conditions: bleeding, porphyria, factitious disorder
 • Meds: rifampin,
Urine Color - Differential ... Diagnosis Red Urine ... vitamin B complex Brown ... /Black Urine: • ... discoloration #nephrology
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/muddy brown ... C and D: muddy brown ... MuddyBrown #Casts #Urine
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria: Red/Dark urine ... 1ml blood/liter urine ... Dysmorphic RBC - Brown ... Diagnosis #causes #urology ... #nephrology #renal
Brown-Sequard syndrome

It is a rare neurological condition characterized by a lesion in the spinal cord which
Brown-Sequard syndrome ... #diagnosis #Neurology
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal Urine ... * Green Urine: ... : • Purple Urine ... Beets, Carrots Brown ... Differential #Diagnosis #nephrology