40 results
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/
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
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
Seborrheic keratosis 
 - Well-circumscribed, stuck-on appearance 
 - Waxy texture 
 - Verrucous surface
have crumbly, granular ... Benign #Clinical #Photo
The Many Faces of Tularemia
 • Glandular
 • Ulceroglandular
 • Parinaud's Ulceroglandular
 • Pharyngeal
 • Pneumonic
Tularemia • Glandular ... Tularemia #clinical #photo
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
• "Muddy Brown ... ) • Granular Casts
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
renal disease • Granular ... renal disease • “Muddy
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
#Clinical #Photo ... Mandibularis #Rash #NEJM
A necrotic ulceration was observed on the right side of the tongue. Cervicofacial computed tomography, performed
arteritis #clinical #photo ... Arteritis #tongue #NEJM