103 results
Granular & “Muddy Brown” Casts on Urine Microscopy
A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Brown” Casts on ... coarse (c) and muddy ... of mb granular casts ... Granular #MuddyBrown #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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... the most common pattern ... The cystic pattern ... When the cysts have ... seen and in many cases
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 • Homogeneous pattern: 
   -
and Cytoplasmic Patterns ... Nuclear Patterns ... • Homogeneous pattern ... Scl70 (in some cases ... Scl-70 (in some cases
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
microscopy • Red cell casts ... • White cell casts ... infection • Hyaline casts ... disease • Granular casts ... diagnosis #nephrology #casts
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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Emphysema - Lung cysts ... low attenuation pattern ... Differential #Diagram #Comparison ... TractionBronchiectasis #Cysts
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
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
hematuria (RBC casts ... Nephrotic #Syndrome #Comparison ... #Algorithm #Nephrology
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... bizarre shaped cysts ... LowAttenuation #Cystic #Pattern ... #Comparison #Table