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diagnosis comparison differential management clinical radiology microscopy radiologyassistant hepatology nephrology pharmacology pulmonary urine ctchest pattern causes cystic treatment ascites cysts
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Differential Diagnosis Table ... Serum Ascites Albumin ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... #Serum #Albumin
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Brown” Casts on ... Finely granular cast ... coarser granular cast ... coarse (c) and muddy
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
Red blood cell casts ... Absent Serum albumin ... Red blood cell casts ... Present Serum albumin ... Nephritic #Comparison #Table
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... Casts three ways ... Varghese @vipvargh #Muddy ... Brown #Granular #Casts
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
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
serum ascites albumin ... Cirrhosis, Late Budd-Chiari ... pericarditis, Early Budd-Chiari ... SAAG #ascites #albumin
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
granular/waxy mixed casts ... light granular/muddy ... granular, C and D: muddy ... 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 ... renal disease • “Muddy ... brown cast” - Necrotic
IV Fluids - Comparison Table Fluid - pH - Osm - Na - Cl - Other •
Fluids - Comparison Table ... • Colloids: 5% albumin ... , 25% albumin ... IVF #Comparison #Table
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
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