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clinical ultrasound diagnosis abdominal complex differential casts hepatology microscopy gallbladder nephrology sbp urine effusion radiology saag albumin causes diaphragm gradient
Examples of varying granular and granular/waxy mixed casts: A: coarse granular/broad-waxy (and surrounding white blood cells);
Examples of varying granular ... and granular/waxy ... /muddy brown granular ... , C and D: muddy ... brown granular/
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
Muddy Brown Granular Casts three ways - Brightfield, Darkfield, Phase Contrast. Dr. Vipin Varghese @vipvargh #Muddy #Brown #Granular
Muddy Brown Granular ... Varghese @vipvargh #Muddy ... #Brown #Granular
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Finely granular ... slightly coarser granular ... coarse (c) and muddy ... brown (mb) granular
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
concentrated urine Granular ... cellular casts "Muddy-brown ... " heme-granular
Complex (NOT simple) ascites on Abdominal POCUS (very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple) ascites ... on Abdominal POCUS ... very subtle intra-ascitic ... 869585940200796160 #Ascites ... #Complex #POCUS
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 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
Systemic Lupus Erythematosus: Gastrointestinal Manifestations - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Liver Enzymes - Budd ... Enteropathy -> Ascites
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram Subcostal window in SLE patient.
Ascites, pericardial ... subcostal 4-chamber POCUS ... Answer: Ascites, ... effusion #s4c #POCUS ... echocardiogram #POCUS
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