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diagnosis differential nephrology causes hepatology microscopy clinical management aki ascites granular hematuria injury syndrome workup albumin cardiology chf gradient heartfailure
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
Granular & “Muddy ... Urine Microscopy ... “urine poker quads ... coarse (c) and muddy ... #Urine #Microscopy
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... • "Muddy Brown ... suggestive of acute ... in a variety of acute ... #Urine #Microscopy
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... Cirrhosis, Late Budd-Chiari ... pericarditis, Early Budd-Chiari ... differential #diagnosis #algorithm
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... tubular cells - Acute ... also be seen if urine ... renal disease • “Muddy ... protein indicating acute
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 #urine
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 ... #Urine #Microscopy
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
hypertension (SAAG ... insufficiency - Budd-Chiari ... fibrosis - Acute ... Nephrogenic ascites - Urine ... - Myxedema (SAAG
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... and concentrated urine ... "Muddy-brown" heme-granular ... casts are seen ... in acute tubular
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... repeat testing • Acute ... WBCs, or urine ... proteinuria, RBC casts ... Hematuria #Diagnosis #Algorithm
Muddy Brown Casts in ATN #Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Muddy Brown Casts ... #Path #Nephro #Urine
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