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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 ... #Urine #Microscopy
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 ... #clinical #urine
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 ... #Urine #Microscopy
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... - Casts Acellular ... Casts • Hyaline ... • "Muddy Brown ... #Urine #Microscopy
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Atlas of Urine Microscopy ... also be seen if urine ... disease • “Muddy brown ... cast” - Necrotic ... contamination #Urine
Causes of Abnormal Urine Colors - Differential Diagnosis
Blue-Green - Yellow - Orange - Pink - Red
Causes of Abnormal Urine ... Colors - Differential ... - Pink - Red - Brown ... White - Purple #Urine ... #color #differential
Muddy Brown Casts in ATN
#Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts ... #Path #Nephro #Urine
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... "Muddy-brown" heme-granular ... casts are seen ... #Differential #
What the Color of Urine Can Tell You - Differential Diagnosis by Urine Color
Clear: excess water
Pale
What the Color of Urine ... Can Tell You - Differential ... Diagnosis by Urine ... phenazopyridine Brown ... #color #differential
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: • ... #Color #Differential