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differential causes management nephrology workup hematology ddxof pulmonary evaluation cardiology peds em treatment endocrinology pediatrics neurology clinical dermatology gastroenterology radiology
Urine Microscopy and Casts - Image Atlas Key - Squamous Epithelial Casts - Transitional Epithelial Cells - Renal Tubular
Microscopy and Casts ... Squamous Epithelial Casts ... RBCs - Granular Casts ... Cast - Waxy Cast ... Urine #Microscopy #Casts
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy - Casts ... Acellular Casts ... • Hyaline Casts ... Cellular Casts: ... interpretation #diagnosis
Granular & “Muddy Brown” Casts on Urine Microscopy A. Finely granular cast B. slightly coarser granular cast
“Muddy Brown” Casts ... Finely granular cast ... coarser granular cast ... of mb granular casts ... Granular #MuddyBrown #Casts
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
Mixed Cellular Casts on Urine Microscopy Degenerating mixed cellular cast - brightfield, unstained - from patient with
Mixed Cellular Casts ... mixed cellular cast ... #Cellular #Casts
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 ... #nephrology #casts
Lipid Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #Lipid #Casts #Urine #Microscopy #clinical #fatty #nephrology
Lipid Casts on Urine ... TELMALEMOS10 #Lipid #Casts
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 Waxy Casts on Urine Microscopy Dr. Telma Lemos @TELMALEMOS10 #Waxy #Casts #Urine #Microscopy #clinical #nephrology
Waxy Casts on Urine ... TELMALEMOS10 #Waxy #Casts
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 Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria (RBC casts ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... Diagnosis of Macroscopic ... RBC’s, RBC/WBC casts ... neck, prostatic) #Diagnosis ... #Differential #Algorithm
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