89 results
Examples of varying granular and granular/waxy mixed casts: 
A: coarse granular/broad-waxy (and surrounding white blood cells);
and granular/waxy ... mixed casts: ... /muddy brown granular ... , C and D: muddy ... #Casts #Urine #
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 #clinical
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 ... casts is better ... #Casts #Urine #
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... SAAG ≥ 1.1: - Ascitic ... Cirrhosis, Late Budd-Chiari ... metastases - Ascitic ... pericarditis, Early Budd-Chiari
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Table - Serum Ascites ... thrombosis • Late budd-chiari ... obstruction • Early budd-chiari ... • Pancreatic ascites
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... concentrated urine Granular ... breakdown of cellular casts ... "Muddy-brown" heme-granular ... casts are seen
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... pericarditis • Budd-Chiari ... Hemoperitoneum • Chylous ascites ... amzn.to/2LmUODZ #Ascites ... Algorithm #Hepatology #causes
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
with exudative ascites ... Low ascitic fluid ... syndrome as a cause ... for exudative ascites ... Although nonhepatic causes
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... insufficiency - Budd-Chiari ... - Bile ascites ... - Urine ascites ... #Causes #diagnosis
Waxy and granular casts - brightfield urine microscopy

Dr. Telma Lemos @TELMALEMOS10

#Waxy #granular #casts #Urine #Microscopy #clinical
Waxy and granular ... casts - brightfield ... TELMALEMOS10 #Waxy #granular ... #casts #Urine #